MEDICAL IMAGING PROGRAM CLINICAL …...MEDICAL IMAGING PROGRAM CLINICAL HANDBOOK 2018 – 2021 The...

MEDICAL IMAGING

PROGRAM

CLINICAL HANDBOOK

2018 – 2021

The Clinical Handbook is reviewed annually by the Advisory Committee of Emory University’s

Medical Imaging Program. The current committee members are:

Ms. Karen Bell-Moore

Mr. Randy Bethea

Mr. Ted Brzinski

Ms. Ajeenah Bullock

Ms. Christina Byelick

Mr. Jac Camp

Ms. Debra Carter

Mrs. Lynn Clavijo

Mrs. Kim Cross

Dr. Anh Duong

Mr. Eric Edmondson

Mrs. Janelle Ferguson

Mrs. Susan Freeman

Mrs. Lisa Hecht

Ms. Lamiis Khalifa

Ms. Kim Landmon

Mrs. Abbie Henderson-Miller

Mr. Lee Nagel

Mrs. Dawn Moore

Mrs. Barbara Peck

Dr. Carolyn Reilly

Mr. Sean Strickler

Ms. Robin Tarpley

Ms. Samira Yeboah

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TABLE OF CONTENTS

Section Description Page

I. Glossary……………………………………………………………… 4

II. General Information

Introduction…………………………………………………………… 7

Purpose………………………………………………………………… 7

Course Syllabi………………………………………………………… 7

Clinical Assignment……………………………………………….….. 8

Parking………………………………………………………………... 8

Routine Day Shift Clinical Hours………………………………….….. 8

Holidays……………………………………………………………….. 9

Attendance…………………………………………………………….. 9

Symplr………………………………………………………………… 12

Phone list……………………………………………………………… 13

Dress Code………………………………………………………..…… 15

III. Professional Conduct

Expectations….………………………………………………………... 19

Students as Interpreters………………………………………………... 20

Evaluation of Professional Conduct…………………………………… 21

Medical Imaging Program Specific Standards………………………… 22

Use of Social Media…………………………………………………… 23

Violation of Professional Suitability…………………………………… 24

Academic Standing and Academic Dismissal ………………………… 26

Grade Point Average Requirement……………………………………… 26

Clinical Probation ……………………………………………………….. 26

Health Insurance Portability and Accountability Act………………….. 26

IV. Objectives

General………………………………………………………………… 27

Example Script………………………………………………………... 28

Attitudinal……………………………………………………………… 28

Chest…………………………………………………………………… 29

Emergency Room……………………………………………………… 29

Fluoroscopy……………………………………………………………. 29

Genitourinary………………………………………………………..…. 30

Orthopedic…………………………………………………………..…. 30

Portables…………………………………………………………….….. 30

Surgery…………………………………………………………………. 31

V. Clinical Education Master Plan……………………………………… 32

VI. Student Clinical Competency Evaluation

Rationale……………………………………………………………….. 33

Clinical Courses…………………………………………………….….. 33

Competency Evaluation………………………………………………... 34

Competency Exams and Prerequisite Numbers………………………... 35

Technologist’s That May Perform Competencies……………………... 36

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Criteria for Competency Evaluation………………………………….... 37

Minimum Pertinent Anatomy………………………………………….. 39

Emory Diagnostic Radiology Protocols……………………………….. 44

Dx Hanging and Sequence Protocol…………………………………… 47

Sample Competency Record Table……………………………………. 48

VII. Clinical Grading System

First Semester…………………………………………………………. 50

Second Through Eighth Semesters……………………………………. 51

VIII. Protection Policies

Accidents………………………………………………………………. 55

Infection Control Policy……………………………………………….. 55

Laboratory Safety Policy………………………………………………. 59

Pregnancy Policy………………………………………………………. 59

Radiation Monitoring………………………………………………….. 61

Repeat Policy ………………………………………………………….. 63

Clinical Orientation…………………………………………………… 64

Transportation Policy…………………………………………………. 64

Safety Policies – Miscellaneous ………………………………………. 64

IX. e*Value…….………………………………………………………….. 66

Time Tracking Clock in/out …………………………………………... 67

Orientation Checklists/Student Evaluation of Clinical………………… 69

Patient Prep – Case Log……………………………………………….. 70

APPENDIX A, Wheelchair/Stretcher Chest Demonstration………………………. 72

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SECTION I: GLOSSARY

Clinical Education .................... The portion of the educational program conducted in a health care

facility that provides the opportunity for students to translate theoretical

and practical knowledge into cognitive, psychomotor and affective skills

necessary for patient care. It consists of two clinical clerkships, three

clinical internships and three clinical practicum courses.

Clinical Notebook …………… A digital notebook containing clinical policies, information and forms.

The digital clinical notebook is accessible to students at all times while

they are in their clinical site and outside of clinical. Each student can

view the handbook on Canvas but they should also download the

handbook from the Learning Management System

Clinical Organization………… The ability of the student to document their clinical records and review

those records. The clinical grade is affected by the student’s clinical

organizational skills.

Clinical Participation................ A series of eight (8) clinical education courses designed to rotate the

student through all routine diagnostic areas in a clinical affiliation to

develop performance skills.

Clinical Quiz …………………. A quiz given over policy and various radiographic topics. These quizzes

are available on line, the honor code applies.

Competency Evaluation..............The procedure by which a student's performance is evaluated according

to the program's prescribed standards. Competency evaluation consists

of the knowledge, skills and affective behavior required of an entry-level

radiographer.

Direct Supervision ..................…Until a student achieves and documents competency in any given

procedure, all clinical assignments shall be carried out under the

direct supervision of qualified radiographers. The parameters of

direct supervision are:

1. A radiographer reviews the request for examination in relation to

the student's achievement;

2. A radiographer evaluates the condition of the patient in relation

to the student's knowledge;

3. A radiographer is present in the room during the conduct of the

exam;

4. A radiographer reviews and approves the images.

5. A radiographer must be present in the room during ANY

repeated image. This includes exams the student has already

proven competency in.

e*Value………………….…..… The programs online clinical record keeping system. www.e-value.net

http://www.e-value.net/

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Final Clinical Grade…………….The final grade received in clinical. The clinical grade includes an

assignment and work ethic grade. It incorporates such qualities as

knowledge of discipline, organizational and technical skills,

dependability and reliability, industriousness and initiative, rapport with

patients and co-workers, professionalism, etc.

Final Competency Evaluation.... A reassessment of previously obtained competency. It occurs in

the last two semesters.

Grand Rounds…………………..Morning conferences for the radiology department; covering a variety of

imaging topics. Students should attend as directed on their syllabi.

Honor Code ……………………A pledge by the student to do their own work on all clinical assignments,

quizzes, etc. The student also pledges not to falsify records. Breaking

the honor code has serious consequences including suspension and

expulsion.

Image Critique……………….. An oral review of anatomy, positioning, technique etc. on images

produced by the student. These critiques are done during the junior and

senior years with the faculty members. Sophomore students observe

junior and/or senior image critiques. Requirements are outlined in the

clinical syllabi.

Indirect Supervision ..............… Supervision provided by a qualified radiographer (R.T. ARRT)

immediately available to assist students regardless of the level of student

achievement. “Immediately available” is interpreted as the physical

presence of a qualified radiographer adjacent to the room or location

where a radiographic procedure is being performed.

Interval Checks………………..An evaluation on previous semester competencies. An unsatisfactory

Interval Check will require individualized remedial work until the

examination in question can be performed satisfactorily. Interval checks

are performed with Clinical Instructors and recorded in e*Value under

Case Log.

Laboratory ........................……. A separate work area for student practice. It includes phantoms, a

radiographic table, overhead tube, and accessories.

Laboratory Practice ...............…The practice of proper positioning methods utilizing role-playing

activities with another student, following the appropriate instruction.

Exposures are never taken on fellow students.

Lunch and Learn……………….Lunch time sessions in which students present exams they have

performed to the class and discuss positioning, technique, anatomy, etc.

No Call No Show (NCNS)……Failing to contact the clinical site or the clinical coordinator when the

student will be absent from clinical. Students must contact the

appropriate personnel prior to the start of the scheduled shift to avoid

grade deductions. Each NCNS results in a letter grade deduction of the

clinical grade.

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Performance Objectives………. Objectives to be achieved each semester that focus on the actual

performance of certain duties. The staff technologists, clinical

instructors, and faculty will monitor the successful completion of these

objectives. Checklists covering these objectives are on e*Value.

Practicum………………………The last year of clinical and that portion of clinical education in the

student’s minor track; MRI, CT, IR, Women’s Health, Education or

Management.

Prerequisite …………………... The required number of exams done prior to the performance of a

competency. These exams are performed by the student under direct

supervision. The number of prerequisites varies by exam type. All

images must be marked correctly with the student’s initialed markers.

Exception: Egleston (no initials)

Case Log ………………………A part of e*Value where students document exams, repeats, vital

signs, etc.

Radiographic Examination......…A series of images produced with medical imaging techniques to

demonstrate anatomical structures.

Recommended Additional Clinical Time… A recommendation by the faculty or clinical personnel that

the student participate in additional clinical time to improve their skills.

Record Keeping………………. The accurate completion and organization of clinical documentation in

e*Value and the clinical notebook.

Remedial Education .................. The portion of the educational program where the student obtains

additional instruction, practice and reevaluation.

Repeat Exams ………………... An image that must be repeated due to technique, positioning, centering,

artifacts, etc. Any repeated image must be completed under direct

supervision for all students and documented in e*Value under Case

Log.

Seminars ……………………… Lectures given for continuing education to registered technologists.

Seminars are used to familiarize the student with continuing education

requirements of the registered technologist.

Simulation ........................……. An examination on a live subject (not a patient) with a simulated

exposure.

Student Clinical Evaluations…..Evaluations completed by the technologists and/or faculty with whom the

student worked. The student’s performance and affective behavior are

evaluated. It is the student's responsibility to be sure their evaluations

have been completed on e*Value by the Clinical Instructor/Supervisor.

Student Evaluation of Clinical…Ongoing online evaluations of the clinical areas by students in the

program. They provide students an avenue to provide input regarding

their rotations so program faculty can evaluate the educational integrity

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of the areas. These evaluations are assessed by the clinical coordinator

and shared with the program faculty and radiology

administrators/supervisors of the clinical sites. Positive comments are

often shared with the clinical sites. These are completed on e*Value.

Symplr…………………………Children’s Healthcare of Atlanta credentialing company.

Time Tracking…………………The procedure used to document clinical experience on e*Value.

Students must document their time each clinical day and are responsible

for ensuring it is correct and validate by the appropriate personnel.

Work Ethic……………………. An aspect of the final clinical grade that takes into consideration the

student’s attendance, tardiness and compliance to dress code policies,

etc.

Written Clinical Assignments… Assignments that typically include study questions, case studies, and

worksheets.

SECTION II: GENERAL INFORMATION

INTRODUCTION

Students enrolled in the Emory University Medical Imaging Program will be responsible for observing

university rules and regulations as stated in the current and any subsequent university catalog and student

handbook, in addition to those applicable to their clinical affiliation assignments. Clinical facilities are

considered an integral part of the university campus for student clinical assignments.

The rules and regulations stated in this handbook represent a contractual agreement between Emory

University and the Medical Imaging student for the duration of the program. Failure to comply with the

rules and regulations in this handbook will affect student evaluations and grades and may result in

dismissal from the Medical Imaging Program if the student shows no improvement or makes no attempt

to correct errors after counseling. If rules and regulations change or are updated, the student will be

notified in advance.

PURPOSE The major goal of a program in Medical Imaging is to enable the student to develop skills that will allow

him or her to perform the duties of a Radiologic Technologist successfully. The first step in this process is

the acquisition of knowledge through classroom and laboratory learning experiences. It is then necessary

to practice these skills until they are mastered.

During the first semester of clinical participation the student will attend various mandatory orientation

sessions. Following these orientation sessions students will spend time observing the staff technologist at

work and learning patient care skills, such as, communication, patient transportation, appropriate patient

attire, etc.

Participation in the clinical area becomes increasingly more active, with the student assisting the staff

technologist with radiographic procedures, then actually performing the procedure under direct

supervision by the technologist. Finally, after proving competency the student will actually perform the

procedures with only indirect supervision. All repeated images are performed under direct supervision.

COURSE SYLLABI

Each semester the student will have access to the Clinical Course Syllabus. The syllabus will contain the

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course description, objectives, requirements, assignments, etc. The Clinical Coordinator or designee will

explain the syllabus at the beginning of each semester.

CLINICAL ASSIGNMENT

Students enrolled in the Emory University Medical Imaging Program will be scheduled and rotated

through the various clinical assignments by the Clinical Coordinator in consultation and agreement with

the clinical sites. These assignments are in accordance with the Master Plan of Clinical Education. The

Master Plan is subject to change due to the addition, consolidation or deletion of clinical education

settings but rotations will be as equitable as possible.

Your clinical assignment for the entire semester will be posted and you will be given a copy. The

schedule is prepared so that there will be an orderly flow in the department, adequate supervision and an

adequate and equal clinical education experience for the students. It is the student's responsibility to

read and abide by all clinical assignment schedules. Any missed time due to a student’s failure to

adhere to the clinical schedule will result in demerits. Students may not attend additional clinical time

without scheduling it through the clinical coordinator.

Students may be employed while enrolled in the Medical Imaging Program provided the work does not

interfere with regular academic and clinical responsibilities. Due to the amount of time required to be

successful in the program it is recommended that the students not work more than twenty hours per week.

PARKING

Students must adhere to these parking requirements:

Clifton Campus: Parking while at the Clifton Campus sites is through the Emory parking office.

Emory John’s Creek – Students may park in E1 or behind the blue line in E2

Egleston: Students may not park at the CHOA parking deck at Egleston; the deck is very

congested. Students will use their regular Emory parking facilities.

Executive Park: Students will park in the lot at the adjacent 57 building.

EUH-Midtown: Students will park at 725 Spring Street parking lot using their student ID.

Students must go to Security Services in the Glenn Building (Midtown) to have their student ID

registered for access to the parking deck.

Emory St. Joseph and OPIC: Students will sign out a deck card from Kim Cross and return it

immediately upon completion of the rotation.

Any site not listed has general parking at the facility that the student may use as directed by the staff.

ROUTINE DAY SHIFT CLINICAL HOURS

Students will work these hours during a typical week: Most general clinical rotations will be scheduled

Monday – Friday. Some Evening or weekend shifts may occur in the junior and senior year. Hours may

vary slightly.

1st SEMESTER: FALL Two – clinical tours 0845 – 1430 (approximately)

Eight; eight hour observations 0800 – 1600 (Times may vary slightly.)

Two – forty hour weeks Monday – Friday 0800 – 1600 (Times may vary slightly.)

2nd SEMESTER: SPRING 16 hours/week (Days/Times to be announced)

0700 – 1500, 0730 – 1530, 0800 – 1600, 0830 – 1630 (Times may vary slightly.)

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3rd SEMESTER: SUMMER 16 hours/week (Days/Times to be announced)

0700 – 1500, 0730 – 1530, 0800 – 1600, 0830 – 1630, 1300 – 2100 (Times may vary

slightly.)

4th SEMESTER: FALL 16 hours/week (Days/Times to be announced)

0700 – 1500, 0730 – 1530, 0800 – 1600, 0830 – 1630, 1300 – 2100 (Times may vary

slightly.)

5th SEMESTER: SPRING 16 hours/week (Days/Times to be announced) (Evening rotations are possible)

6th SEMESTER: SUMMER Minor track weekend hours may be possible *16 hours/week – General Clinical (Days/Times to be announced)

*8 hours/week – Minor Track Practicum (Days/Times to be announced)

(Evening rotations are possible)

7h SEMESTER: FALL Minor track weekend hours may be possible *16 hours/week – General Clinical (Days/Times to be announced)



8th SEMESTER: SPRING Minor track weekend hours may be possible *16 hours/week – General Clinical (Days/Times to be announced)



*Practicums may be done as a block of time rather than 8- 16 hours/week

HOLIDAYS

The Medical Imaging Program observes the following holidays:

Martin Luther King's Birthday (1 day)

Memorial Day (1 day)

July 4th (1 day)

Labor Day (1 day)

Thanksgiving (2 days)

ATTENDANCE Medical Imaging students will attend ALL Clinical Assignments as scheduled by the Clinical Faculty.

Students will be required to clock in and out of all clinical assignments on e*Value in order to keep an

accurate record of clinical attendance and clinical hours. Clock in and out times must reflect the actual

time the student arrived and was ready to work. Clocking in on time when you actually arrive late or

clocking out on time when you leave early, is considered a falsification of clinical records and is a serious

offense, e*Value does track IP addresses. Students must be in their clinical area when they clock in.

Clinical instructors or supervisors in special modalities at the site must verify your attendance through

e*Value. It is the student’s responsibility to check these records weekly to see that they have been

validated. The clinical faculty member assigned to the site should be notified if there are problems.

In the event that a clinical instructor/supervisor is unavailable to sign the student in or out, students

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should call the clinical faculty member assigned to their site from a clinical site phone and leave a

message. The voice mail system will record the time and location of the call. DO NOT CALL FROM A

CELL PHONE. Once students are in their minor tracks they will call the instructor in charge of their

minor track during those rotations.

When a student fails to follow the procedures for documenting clinical time; clinical time may be lost.

See e*Value section on hour tracking policies.

Absences affect the quality of achievement in theory and practical applications. Excessive or unexcused

absences will NOT be tolerated. Students that miss over 24 hours of general clinical time in a semester

will be required to make up that time over the semester break as scheduled by the clinical coordinator.

Unless the clinical time missed is due to a documented extenuating circumstance, the clinical grade

will be calculated based on the initial time missed. Failure to comply with attendance policies will

result in clinical probation and possible prevention of registration for the next clinical semester.

Absences: If you will be absent, notify the clinical faculty member assigned to your site and the

Clinical Instructor or Site Supervisor at your assigned clinical site prior to the scheduled shift to

avoid a letter grade reduction. (phone numbers are located in the handbook) If you become ill

while at your clinical assignment or if you need to leave early for some other reason, you must

notify the site supervisor and the clinical faculty member before you leave. Absences and failure

to follow proper notification policies affect the final clinical grade as outlined in Section VII.

Tardiness: If unavoidable circumstances will result in the student being more than thirty minutes

late, please call the clinical faculty member and the supervisor or Clinical Instructor at the clinical

site. The student should clock in at the actual time that they arrive. Excessive tardiness will not

be tolerated. Tardiness affects the final clinical grade as outline in Section VII.

o Students are expected to be ready to work at the start of the shift not just arriving to the

area.

o Students will be considered tardy any time they come in to clinical later than their normal

scheduled time unless they have informed both the site and faculty before 3p the previous

business day (M-F).

o Students that fail to inform the clinical site and program within a reasonable amount of

time that they will be more than 30 minutes late will receive a no call late (NCL) demerit.

o Any time missed due to tardiness will be subject to the demerit schedule in Semesters II –

VIII.

o All tardies are rounded up to the nearest ¼ hour.

o Any time missed due to tardiness in Semester I must be made up.

Lunch: Lunch schedules will be assigned at the discretion of the clinical supervisor when

students are on clinical assignments. Lunch breaks are limited to 45 minutes during full day

shifts. There are no lunch breaks during part day rotations. No make-up time is allowed during

lunch breaks; students may not forego their lunch in order to leave early. Students should eat

breakfast prior to starting day shifts.

Extended absences: Any extended absence greater than one week will require written

confirmation from a physician of ability to return to full clinical duties. Extended absences due to

severe illness, injury or family emergency will be considered on an individual basis by the

Program faculty and or Progress and Promotions Committee to determine if grade penalties will

be incurred or if make up time without a grade penalty will be allowed. In the event of an

extended absence it may be necessary to make up missed clinical time. Insufficient clinical hours

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will result in receiving a grade of "Incomplete" for that semester. The "Incomplete" cannot be

changed until all clinical hours are completed. If the incomplete is not removed prior to the start

of the next semester the student will not be allowed to register for the next clinical course.

Extraordinary circumstances will be reviewed on a case-by-case basis.

Full performance of duties: Students must be able to perform all physical activities required to

be a full functioning radiographer. Therefore, if an illness, injury, condition, etc. prevents the

student from performing the required activities, including but not limited to lifting, pushing,

pulling, etc., the student may not attend clinical. In order to return to clinical a full release from

the student’s doctor is required.

Semester break clinical time: In order to complete required competencies students will be

allowed to attend extra clinical during finals week or the first week of the semester break at the

discretion of the program faculty and clinical affiliate. Proper supervision must be available; all

clinical policies must be adhered to. This will only be allowed once during the program; after

that the time is volunteer time and any applicable assignments will be applied to the next

semester. Going to a clinical site without the Clinical Coordinator’s (or designee) approval is a

supervision violation and will result in a reprimand and no credit for time, assignments or exams

completed.

Make up time: Occasionally students will be allowed to make up time missed due to a

documented extendedillness or extenuating circumstance such as a funeral, jury duty, acute

illness, etc. An extended illness is defined as one that causes the students to miss three or more

consecutive days of program activities – clinical and class. The student must request make up

time in writing and provide documentation. Make up time is granted at the discretion of the

Clinical Coordinator upon careful review of the documentation provided and the circumstances.

This make up time may only be done over semester breaks and/or at the discretion of the clinical

coordinator and clinical affiliate. All clinical policies apply. Make up time due to these

extenuating circumstances will be applied towards the clinical grade. Going to a clinical site

without the Clinical Coordinator’s (or designee) approval is a supervision violation and will result

in a reprimand and no credit for time, assignments or exams completed.

Volunteer clinical time: Students are allowed to volunteer at clinical sites on their own time to

gain more experience or to gain exposure to different modalities. Students must first get approval

from the clinical coordinator, who will in turn contact the clinical site for their approval and to

ensure proper supervision will be available. Volunteer clinical time will not be approved if it

conflicts with other scheduled student rotations or proper supervision is not available. All clinical

policies apply. Exams done during volunteer time over the semester breaks will be applied to the

semester that follows. Failure to attend the scheduled time without an acceptable excuse will lead

to forfeiture of future opportunities. Going to a clinical site without the Clinical Coordinator’s (or

designee) approval is a supervision violation and will result in a reprimand and no credit for time,

assignments or exams completed.

Recommended Additional Clinical Time: In the event that a faculty member or a clinical

instructor feels that a student would benefit from participating in more clinical time, a memo/e-

mail will be sent to the program and/or student stating the reason for the additional time. The

student may or may not agree with the recommendation; however, students should understand

that the additional time recommendation is done for their own benefit. Choosing not to take

advantage of the recommendation may be an indication of the student’s desire to be successful.

All clinical policies will apply.

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Religious observances: The program recognizes that some students may have special needs in

the scheduling of clinical duties because of religious beliefs and practices. Therefore students

who anticipate conflicts with regularly scheduled clinical rotations must notify the Clinical

Coordinator in writing at least 15 calendar days in advance of the conflicting date. The student

will be able to make up the clinical time during the semester break or at the discretion of the

Clinical Coordinator. The student and Clinical Coordinator will work together to schedule the

make-up time. All policies apply.

SYMPLR

Students will be required to use the “Symplr” credentialing system for rotations at Children’s Healthcare

of Atlanta (CHOA). Students will receive an e-mail from Symplr and will follow their instructions to be

cleared to rotate through the CHOA sites. The student will need to upload documentation and must

submit to a background check and a drug screen at their own expense. Students may not attend any

CHOA rotation until they get a “green light” from Symplr.

Failure to pass their requirements will prevent the student from attending the rotation. All attendance

policies will apply.

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PHONE LIST

Program Office Phone #’s PIC #’s or Cells

Main: Candice McLean 404-712-1160 N/A

Ted Brzinski 404-712-1229 15887*

Kim Cross 404-712-0294 404-944-2313

Barbara Peck 404-712-7823 14077*

Dawn Moore 404-727-3200 N/A

Lamiis Khalifa 404-712-1228 26612*

Sean Strickler 404-712-2167 N/A

Ajeenah Bullock 404-712-1763 N/A

Inclement Weather Line 404-727-1234

*To Page: Dial 404-686-5500, enter PIC #, enter your number, press #.

Children's Healthcare of Atlanta at Egleston

Supervisor: 404-785-1286*

2nd shift supervisor 404-785-1291 Fluoroscopy: 404-785-6168

Routines: 404-785-1255

CT: 404-785-6031 MRI: 404-785-1487

Education Coordinator: 404-785-1480

TO CALL A CODE 5-6161

Children's Healthcare of Atlanta at Scottish Rite

MRI: 404-785-2485 MRI Supervisor: 404-785-5356

Education Coordinator: 404-785-1480


Children's Healthcare of Atlanta at Webb Bridge

Main: 404-785-7226 MRI: 404-785-8156


Emory Dunwoody Radiology 404-251-1555


Emory Johns Creek

General 678-474-8071 (7166, 7167) Breast Imaging 678-474-5602

CT 678-474-8070 (7169) IR 678-474-8055

MRI 678-474-8173

Nuclear Medicine 678-474-8172 US 678-474-8069

Manager 678-474-7157

Supervisor 678-474-8045 TO CALL A CODE 4444

Emory McDonough Imaging Center

MRI: 404-778-7270


Emory University Hospital – Midtown

Control: 404-686-2326

CT: 404-686-8983 Interventional: 404-686-2323

Med Office Tower (MOT) 404-686-3194(3259)

MRI: 404-686-3360 Nuclear Medicine: 404-686-1225

RT Oncology 404-686-7857

Ultrasound: 404-686-8990(1503) TO CALL A CODE 6-1777

Emory St. Joseph’s Hospital

General 678-843-5529 (5530)

CT 678-843-7574 press 3 IR 678-843-7332

MRI 678-843-5149

Supervisor 678-843-4898 OPIC 678-843-6132 (6133)


Emory University Hospital

Diagnostic Front Desk 404-712-7036

Control: 404-712-7832 Fluoroscopy: 404-712-7953

CT Supervisor 404-712-4612

CT Main 404-712-7888 Cardiovascular Lab: 404-712-7034

Interventional: 404-712-0532

MRI: 404-712-1390 Nuclear Medicine: Front Desk 404-712-1075

Main Work Hall: 404-712-5017

Ultrasound: 404-712-7428 TO CALL A CODE 2-1777

Emory University Hospital TOWER

General Diagnostic Control 404-251-6120

CT Control 404-251-6101, 1-5112

MRI Control 404-251-5115 US Rm 1 404-251-6107

Emory University Orthopaedic & Spine Hospital

Technologists 404-251-3094

MRI: 404-251-3092

CT: 404-251-3091TO CALL A

CODE 1-3777

Emory University Orthopaedic & Spine MOB

Medical Office Building 404-251-3227


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The Emory Clinics A & C (Winship)

Diagnostic: 404-778-3596(5112) Mammography: 404-778-3887

Bone Density: 404-778-3441

CT: 404-778-4714 CT Supervisor: 404-778-4810

MRI: 404-778-3176 (5622)

PET: Bldg. A 404-778-4748 Rad. Oncology: 404-778-4078 (5621)

Rad. Oncology: 404-778-3450 (0595)

Rad. Oncology Supervisor 404-778-5315 Ultrasound: 404-778-3522


The Emory Clinic Satellites

Executive Park 59:

2nd floor ortho: 404-778-6256 3rd floor spine: 404-778-7100 (6261)

4th floor: 404-778-6278 (7209)

5th floor OR: 404-778-6200 (6220) Supervisor: 404-778-6298

Executive Park 12: 404-778-6064


Off Site Clinical Affiliates – General Diagnostic

Emory Johns Creek Hospital (0800-1600)

6325 Hospital Pkwy, Johns Creek, GA

(678) 474-7000

Clinical Instructors: LaToya Gotel, John Stefanie, Debbie Jones

Emory Orthopaedic and Spine Hospital (0730-1530)

1455 Montreal Rd, Tucker, GA

(404) 251-3000

Clinical Instructors: Rob Wells, Viki Knowles

The Emory Clinic at Executive Park

59 Executive Park South

Atlanta, Ga. 30329

2nd floor Ortho – Suite 2045 (0700-1500)

404-778-6256

3rd Floor Spine – Go to the reception area and ask for Radiology

(0700-1500) 404–778-7100 or 778-6261

5th floor Surgery Physiatry (0800-1600)

404-778-6278

Clinical Instructors: Bonnie Jones, Tevin Cummings, Jason Smitherman, Nancy

Stauffer, Nichole Hamilton, Kristen Ferreira, Clarisa Tismanaru

Emory Dunwoody

4555 N. Shallowford Rd.

Atlanta, Ga. 30338

404-251-1555

Clinical Instructors: Eugene Kang, Jin Yoon

Medical Office Building at EUOSH

1455 Montreal Rd.

Tucker, Ga. 30084

404-251-3227

Clinical Instructor: Ahmed Fadl

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DRESS CODE

The personal appearance and demeanor of Medical Imaging Students at Emory University reflect both the

University and Program Standards and are indicative of the student's interest and pride in the profession.

The appropriate uniform, as described below, must be worn while on the clinical assignment.

Failure to comply with the dress code may result in the student being dismissed from the clinical setting

until proper attire is worn. All clinical time missed due to noncompliance with the dress code will affect

the attendance section of the work ethic grade. After one warning, each dress code violation will affect

the work ethic grade. Dress code violations are cumulative from semester to semester.

It is also important to give a favorable impression to patients, physicians, and visitors while walking

through the clinical sites before or after your shift or when in the department to do assignments, pick up

images, etc. Therefore inappropriate attire, such as shorts, blue jeans, midriffs, tank tops, tee shirts with

slogans, sandals, etc. should be avoided. Review the hospital and departmental dress code in the back of

this section for further clarification.

Uniforms General Clinical Rotations:

Black scrub uniform with required embroidery, short white lab coat/jacket (sport coat length) with

patch, black or white shoes, white or black socks/hose. Students may wear plain, (no logos) white or

black undershirts or turtlenecks under their uniform tops. Students will wear EMORY tags on their

uniforms – supplied by program. Uniforms must be kept clean and pressed at all times. Faculty,

clinical instructors and or supervisors reserve the right to deem uniforms inappropriate, send the

student home and/or require different uniforms. Time missed will result in demerits and may affect

the clinical grade

Scrub tops must be embroidered with the preapproved Emory Medical Imaging logos. Uniforms

must be purchased through the Emory Bookstore.

Lab coats are to be worn at ALL times when outside of the radiology department, except at Egleston

when doing portables since white lab coats may intimidate the pediatric patient. Lab coats will not be

worn in surgery suites. Students may remove their lab coat while performing procedures in the

department, however they should keep it on as much as possible. Students will be supplied with one

patch and the student will sew it onto the right sleeve of their lab coat as instructed by the faculty.

Students can purchase additional patches at $5.00 each from the clinical coordinator.

Surgery uniforms will be worn only during the surgery rotations as required by the clinical site.

White lab coats or jackets should be worn over the scrubs when the student is not in the surgery suite.

Surgical masks, bonnets, and booties are not to be worn outside of the required area. No student may

wear or carry hospital purchased scrub attire away from the hospital complex.

If a student is splashed with blood or body fluids, contact the department supervisor so a temporary

set of scrubs can be issued. Be sure to inform the program faculty so a dress code violation is not

given.

Shoes should be polished and should be flat; white or black uniform shoes or tennis shoes are

acceptable. Tennis shoes should be plain; they should not be adorned with colorful stripes etc. Socks

and hose are required and should be in good shape. Open toed shoes are not permitted, clogs are

permitted.

Clothes must be clean and pressed. Students that do not look professional will be sent home.

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Name Badge Students must identify themselves to patients and wear an identification name badge in plain view

while on clinical assignment. Name Badges cannot be placed on a lanyard; appropriate holders

include retractable badge holders or clip on holders. Students will be supplied with a class color

Badge ID holder that they must wear at all clinical rotations. The Program provides name badges at

the beginning of training but the student must purchase replacement badges. Absence of I.D. badges

is considered a dress code violation. Students will also obtain a student badge from the education

coordinator when at Egleston and return it upon completion of the rotation.

Radiation Badges The student must always wear two dosimeters while on clinical assignment. The collar dosimeter

should be worn near the neck and outside of the fluoroscopy apron during fluoroscopy procedures.

The body dosimeter is to be worn at the waist level along the midline of the body and under the

fluoroscopy apron during fluoroscopy procedures. Dosimeters must be changed in the program office

prior to the 8th working day of each month and must be turned in on time. Late submission will result

in the student being assessed a $40.00 late fee. Students will remit this fee to the program. Students

will review and initial their dosimetry reports when the reports are received from the radiation safety

office.

Markers

Students will use right and left initialed lead markers to properly identify anatomical references on

radiographs. Before entering clinical, students will order at least TWO sets of R & L markers with

their initials (first, middle, last). Students without middle initials should contact the Clinical

Coordinator. The right marker must be RED, the left marker must be BLUE. Students should always

have a spare set available in case a marker is lost or misplaced. The student must carry right and left

markers during all diagnostic clinical rotations to avoid a dress code violation. All exams done by the

student must be marked correctly with the student's initialed markers.(Egleston exception) Failure to

correctly mark any competency, prerequisite or interval check image with the student’s initialed

markers will lead to failure of the exam. Students may purchase markers from any company

provided they meet the above criteria – resources will be given.

In addition, all portable neonate images at EUHM must ALWAYS be marked correctly with a lead

marker. Do not leave the marker off at the neonate staff’s insistence; the radiologist requires

mandatory marking of all images.

Emory Protocol for marking of images

All lateral images must be marked anteriorly using the marker of the side down.

Possible exception is Lateral chest – use department protocol.

Markers on AP extremities should be placed laterally. (anatomically)

Markers on PA extremities should be placed medially. (anatomically)

All other projections should be marked on the correct side.

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Marker Examples

Technique Guide and Clinical Notebook The student must have the program mandated technique/procedure guide with them during ALL

clinical rotations to avoid a dress code violation. It is also recommended that the student carry a small

booklet in their pocket on which to record exposure factors. The Clinical Notebook is located on-line

in the Canvas course. The student may also find it in the Clinical Site Handbook located at each

clinical site.

Hygiene

For the health and well-being of all students, employees and patients, students are responsible for

maintaining appropriate levels of personal hygiene. Clean clothing and hair, daily bathing, and the

use of deodorants/antiperspirants is strongly recommended to maintain appropriate standards of

cleanliness. Body odors will be addressed with individual students quickly and confidentially.

Students may be sent home by the Faculty or Clinical Instructor to address the problem. Students

may return once the issue is resolved. Time missed will incur demerits and may affect clinical grade

(if applicable) unless a medical condition exists.

Hairstyles Hairstyles must be simple and kept out of the eyes. Long hair must be worn in a fashion that will

never touch the patient. Hair must be neatly groomed, clean and must be a natural human color. (e.g.

black, blonde, brown, red, gray, white.) Extreme hairstyles and unnatural colors are not allowed. If a

hair band, hair bow or turban must be worn, it must be kept simple and must be white. Beards and

mustaches must be neatly trimmed.

Fingernails For sanitary purposes fingernails must be short, no longer than 1/4 inch and must be

neatly trimmed and clean. Students may NOT wear any fingernail polish or false fingernails of any

kind while in clinical. False fingernails are not acceptable when providing direct patient care,

performing invasive procedures, or when preparing compounded or infusion solutions. There have

been documented outbreaks of infections due to Pseudomonas, Serratia & Yeast due to artificial nails.

Cosmetics and Fragrances Cosmetics and fragrances may be used only in moderation. Cosmetics include but are not limited to

eye shadow, eyelashes, eyeliner, blush, foundation, and lipstick. Only natural color mascara, eye

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brow and eyeliner are allowed. Color for eye shadow, blush, foundation and lipstick must be simple

and natural. Natural length eyelashes are acceptable. Fragrances are not allowed at Children’s

Healthcare of Atlanta.

Jewelry For sanitary and safety purposes, jewelry must be kept to a minimum and must be inconspicuous.

Earrings must be small and close to the ear lobes. Only two earrings/ear are allowed. Necklaces must

be short and should never touch a patient. Only one ring may be worn on each hand. Body piercing

that is visible to the customer such as tongue rings, eyebrow rings, nose rings, pierced fingernails etc.

may not be worn while on clinical rotations. Ear gauges are not allowed.

Watches Students are required to wear a watch with a second hand while on their clinical assignment. They

may not wear “Smart Watches”.

Smoking Smoking is prohibited inside all medical buildings. Smoking is NOT permitted at many of the

campuses. Students that smell of smoke will be sent home by certain facilities. Violation of the

smoking policy will incur dress code demerits as well as demerits for any missed time should the

student be sent home.

Tattoos All tattoos must be kept covered while on clinical rotations.

Cell phones and electronic devices Use of cell phones or ANY other mobile electronic device is NOT permitted during clinical hours

except to clock in and out. The use of cell phones in the clinical setting is considered disruptive and is

strictly prohibited. Once students clock in on E*Value, they may not have their mobile devices on

their person; all electronic devices must be left in student lockers if available, or another secured

location (The Program is not responsible for the security and storage of students’ mobile devices).

Students may check their device during the lunch break, if necessary. Should the need arise for

family/friends etc. to contact a student while in clinical, that party should contact the Program office.

A Program official will then contact the student at the clinical site.

Abuse of this policy is considered a violation of professional suitability standards and subject to the

actions described on page 24 of the clinical handbook for violation of conduct standards. Students

violating the policy may be asked to leave the clinical site for the day. Any lost clinical hours will be

counted as an absence. Students violating the policy will also receive a written reprimand and a dress

code violation. A second violation will result in suspension and a third will result in dismissal from

the program.

Inputting of recorded procedures should take place during the lunch break or after clinical when the

student has access to his/her device. Students are expected to adhere to HIPAA policies at all times

and should limit the protected health information recorded to that required (EMPI & history). Any

patient information should be shredded after the information is entered into E*Value.

Text Messaging, e-mail or social media Students may NOT text message, use any social media websites (ex. Twitter, Facebook, Instagram,

Snapchat, etc.) or e-mail while in clinical. Including e-mailing program faculty, staff or clinical

sites/personnel.

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Code Cards Must be carried with the student during all clinical rotations. (Will be provided by program.)

CPR

All students must be current in American Heart Association Healthcare Provider BLS CPR. If a

student certification lapses during the program they may not go to clinical until it is updated. All

attendance penalties will apply.

SECTION III: PROFESSIONAL CONDUCT

The Emory University School of Medicine takes great pride in the development and accomplishments of

its students and the practitioners it graduates. It is a combination of academic success and professional

development that provides the cornerstone of a fine practitioner. To that end, various safeguards are in

place to monitor and access the progress, performance and promotion of students. All conduct standards

in the Medical Imaging Program Student Handbook (http://radiology.emory.edu/education/medical-

imaging/policies-evaluation.html) and the SOM Student Handbook (https://med.emory.edu/handbook/)

apply to all clinical courses.

Professional conduct is expected from students at all times. Professionalism is an essential component of

all clinical evaluations and is a primary factor of success considered by the Program Faculty. Also be

aware that certain unprofessional behaviors could make the student ineligible to take the National

Registry Exam. Students should review registry policies and the Standard of Ethics at www.arrt.org

upon admission to the program.

EXPECTATIONS

Emory University is an institution dedicated to providing educational opportunities for its students,

transmitting and advancing knowledge, and providing a wide range of services to students and to the

general community. To accomplish these objectives and responsibilities requires that the University be

free from violence, threats and intimidation; protective of free inquiry and dissent; respectful of the rights

of others; open to change; supportive of democratic and lawful procedure; and dedicated to intellectual

integrity and a rational approach to the resolution of human problems.

The tradition of the university as a sanctuary of academic freedom and center of informed discussion is an

honored one, to be guarded vigilantly. The basic significance of that sanctuary lies in the protection of

intellectual freedoms: the rights of professors to teach; of scholars to engage in the advancement of

knowledge; of students to learn and express their views.

Health professionals are privileged to serve in important and time-honored roles as caregivers for other

humans. These roles include physical and emotional dimensions that demand the highest degree of ethical

behavior.

Ethical behavior includes, but is not in any way limited to honesty, maintaining confidentiality,

trustworthiness, professional demeanor, respect for the rights of others, personal accountability,

concern for the welfare of patients, and responsibility to duty:

Honesty – Being truthful in communication with all others, while in the healthcare arena or in the

community at large.

Maintenance of Patient Confidentiality – Restricting discussion of patient care to those areas

where conversations cannot be overheard by others outside of the care team; refraining from

http://radiology.emory.edu/education/medical-imaging/policies-evaluation.html)

http://radiology.emory.edu/education/medical-imaging/policies-evaluation.html)

https://med.emory.edu/handbook/

http://www.arrt.org/

20

disclosing patient identity to those not connected to the care of the patient; maintaining

appropriate security for all paper and electronic patient records, whether in the patient care or

research realms.

Trustworthiness – Being dependable; following through on responsibilities in a timely manner.

Professional Communication and Demeanor – Being thoughtful and kind when interacting

with patients, their families, other members of the healthcare team, and all others; maintaining

civility in all relationships; striving to maintain composure under pressures of fatigue,

professional stress or personal problems; maintaining a neat and clean appearance and dress in

attire that is reasonable and accepted as professional to the circumstances; refraining from

intoxication; abstaining from the illegal use of drugs (both prescription and illicit drugs).

Respect for the rights of others – Dealing with all others, whether in a professional or non-

professional setting, in a considerate manner and with a spirit of cooperation; respecting the rights

of patients and their families to be informed and share in patient care decisions; respecting

patients’ modesty and privacy.

Personal accountability – Participating responsibly in patient care to the best of one’s ability and

with appropriate supervision; undertaking clinical duties and persevering until they are complete;

notifying the responsible person if one is unable to perform clinical tasks effectively; complying

with University Policies and Procedures in an honest and forthright manner.

Concern for the welfare of patients – Treating patients and their families with respect and

dignity both in their presence and in discussions with others; avoiding the use of foul language,

offensive gestures or inappropriate remarks; discerning accurately when supervision or advice is

needed and seeking these out before acting; recognizing when one’s ability to function effectively

is compromised and asking for relief or help; never administering care, in person or over the

phone while under the influence of alcohol or other drugs (prescription or illegal); not engaging

in romantic, sexual, or other nonprofessional relationships with a patient, even upon the apparent

request of a patient; advocating for the best care of the patient, in context of that patient’s beliefs

and desires.

Responsibility to duty– Effectively undertaking duties with alacrity [eagerness, enthusiasm and

promptness are synonyms] and persevering until complete, or notifying a responsible more senior

person of a problem; being punctual for class, small groups, rounds, conferences and other duties;

timely notification of supervisory faculty, residents and Deans of absences or an inability to carry

out assigned duties; seeing patients regularly and assuming responsibility for their care with

appropriate supervision; identifying emergencies and responding appropriately; and being

available to faculty or staff personnel when on duty.

STUDENTS AS INTERPRETERS

Medical interpreting is a profession that requires training, experience, skills, knowledge of medical

terminology, the Standards of Practice, and the Code of Ethics, as well as language fluency and

proficiency in both English and the patient’s language. The Department of Human Health Services states

that “an individual that has above average familiarity with speaking or understanding a language other

than English does not suffice to make that individual a qualified interpreter for an individual with limited

English proficiency.”

A qualified interpreter is required per federal standards and compliance with hospital policies. Students

should not interpret for another person (third party), unless they meet the required interpreter

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qualifications. The same regulations apply to those that are hearing impaired. The only exception is if the

medical situation is considered to be life threatening and no professional interpreters are available.

Furthermore, when a patient, family member or companion is deaf, non-English speaking or is Limited

English Proficient (LEP), in order for bilingual/multilingual providers to communicate directly with said

patient, family member or companion, in a language other than English, the provider must be assessed to

determine their ability to communicate effectively in the target language. Students who wish to be

assessed need to contact the Office of Medical Education and Student Affairs to understand the

responsibility and procedures related to doing this.

EVALUATION OF PROFESSIONAL CONDUCT

The medical school faculty of Emory University has established standards for determining the ethical

fitness of medical students to participate in the medical profession. The evaluation of professionalism,

separate to and as part of academic performance, is considered for all medical students during each and

every course and clerkship. The Standards of Professionalism are described in the Medical Imaging

Program Student Handbook. Some specific examples of professional conduct include:

i. ) Concern for the welfare of patients as evidenced by thoughtful and professional attitude in obtaining

history and physical examinations; avoidance of foul language, offensive gestures or inappropriate

remarks with sexual overtones; treatment of patients with respect and dignity both in their presence

and in discussions with peers; manifestation of concern for the total patient.

ii.) Concern for the rights of others, as shown by dealing with professional and staff personnel and with

peer members of the health care team in a considerate manner and with a spirit of cooperation; acting

with an egalitarian spirit towards all persons regardless of race, color, religion, sex, sexual orientation,

national origin, veteran’s status, disability, or age; assuming an appropriate and equitable share of

duties among peers.

iii.) Responsibility to duty, which involves: effectively undertaking duties with alacrity [eagerness,

enthusiasm and promptness are synonyms] and persevering until complete, or notifying a responsible

more senior person of a problem; punctual attendance for class, small groups, rounds, conferences

and other clinical duties, or offering appropriate explanation when unable to be present; notifying the

Dean’s Office, course directors, and/or supervising house officers of absence or inability to carry out

duties; seeing patients regularly and assuming responsibility for their care with appropriate

supervision; identifying emergencies and responding appropriately; and being available to faculty or

staff personnel when on duty.

iv.) Trustworthiness, exhibited by being truthful and intellectually honest in communications with others;

accepting responsibility for meeting multiple demands by establishing proper priorities and by

completing work necessary for the optimal care of patients; discerning accurately when supervision or

advice is needed before acting; maintaining confidentiality of information concerning patients.

v.) Professional demeanor, which means a neat and clean appearance in attire, that is reasonably

acceptable as appearing professional to the patient population;

vi.) Maintaining equilibrium under pressures of fatigue, professional stress, or personal problems;

avoiding the effects of alcohol or drugs while on duty.

Unprofessional behavior by a student should be reported to the Clinical Coordinator, Program Director, or

the Executive Associate Dean, as appropriate. Unprofessional behavior or violations of the code of

conduct are addressed as described in the Medical Imaging Program Student Handbook.

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MEDICAL IMAGING PROGRAM SPECIFIC STANDARDS

In addition to standards developed by the school of medicine, the program has developed specific

standards for students in the Medical Imaging Program.

Professional Ethics

All persons who work in a hospital share the responsibility of observing a code of ethics, which

requires truthfulness, honesty and personal integrity in all human activities. In general, the following

applies to all hospitals, clinics, and students:

o Doctors alone have the training and legal right to diagnose and treat human illnesses and

injuries.

o All information concerning patient or hospital/clinic business must be held in strict

confidence. Students are not to discuss outside the hospital or clinic, or even with other

students or employees, any information concerning any patient. Students are expected to

maintain patient confidentiality in a professional manner. When patients ask questions

concerning their exams, always tell them to consult their physician.

o Students are not to burden patients or other employees with their own personal problems.

Professional Conduct

The following are some of the rules, which will govern each student's conduct during clinical hours.

The purpose of these rules is not to restrict the rights of individuals, but to define and maintain the

rights of all individuals.

Discipline for violation of these rules may range from a verbal warning to a written reprimand to

dismissal, depending upon the type of violation and the circumstances surrounding the offense.

All Medical Imaging Students will:

1. Report to the clinical assignment in an alert condition and remain that way throughout the

assignment.

2. Not be in the possession of drugs or liquor, nor engage in their use while on clinical

assignment.

3. Not be in the possession of weapons while on clinical assignment.

4. Conduct themselves with respect to common decency and morality.

5. Be present and prompt to all clinical assignments.

6. Report to the clinical assignment in the proper complete uniform.

7. Refrain from chewing gum while on clinical assignment.

8. Smoke only in designated areas.

9. Eat only in designated areas.

10. Conduct themselves professionally while on clinical assignment.

11. Refrain from arguing with the clinical personnel or faculty. Discussion is appropriate but

only away from the patients.

12. Use appropriate language when conversing with patients and personnel.

13. Refuse any type of gratuity or "tip" from a patient or patient's family.

14. Conduct personal conversations away from patients.

15. Respect all property.

16. Remain in the designated clinical assignment at all times.

17. Use the clinical affiliation telephone only in the event of an emergency.

18. Accept assignments equal to your abilities and take directions from the Clinical Instructors

and supervisors.

19. Supply and record information honestly.

20. Clock in and out truthfully.

21. Receive personal visitors only in cases of emergency.

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22. Not loiter in the Radiology Department of the clinical affiliate at times not specified for

clinical assignment.

23. Refrain from using cell phones or other electronic communication devices while in clinical.

24. Only use PAC’s to view images of patients who are in their direct care or when using images

for class assignments as directed by faculty.

25. SMILE!

USE OF SOCIAL MEDIA

As described above, behavior of students in the academic setting and beyond must be in keeping with the

ideals of the institution and the profession of medicine. The following paragraphs indicate the current

standards for behavior that relate to the use of social media.

Each student is responsible for his or her postings on the Internet and in all varieties of social media. In

all communications, students are expected to be courteous, respectful, and considerate of others.

Inappropriate postings on the Internet or social media will be considered lapses in the standards of

professionalism expected of Emory School of Medicine students. Students responsible for such postings

are subject to the Conduct Code process in the same manner as for any other unprofessional behavior that

occurs outside the academic setting. Students who do not follow these expectations may face disciplinary

actions including dismissal from the School of Medicine.

Students within the School of Medicine are urged to consider the following before posting any comments,

videos, pictures, or essays to the Internet or a social media site:

1. There is no such thing as an “anonymous” post. Furthermore, any posts or comments submitted

for others to read should be posted with full identification of the writer. Where your connection to

Emory is apparent, make it clear that you are speaking for yourself and not on behalf of Emory. A

disclaimer, such as, "The views expressed on this [blog; website] are my own and do not reflect

the views of my University or the School of Medicine" are required.

2. Internet activities may be permanently linked to the author, such that all future employment may

be hampered by inappropriate behavior on the Internet.

3. Making postings “private” does not preclude others copying and pasting comments on public

websites. “Private” postings that become public are still subject to sanctions described in the

School of Medicine Conduct Code.

4. Do not share information in a way that may violate any laws or regulations (i.e. HIPAA or

FERPA). Disclosing information about patients without written permission of the patient and the

School of Medicine, including photographs or potentially identifiable information is strictly

prohibited. This rule also applies to deceased patients.

5. For Emory’s protection as well as your own, it is critical that you show proper respect for the

laws governing intellectual property, copyright and fair use of copyrighted material owned by

others, including Emory’s own copyrights and brands. Curricular materials developed by Emory

faculty and staff or faculty/staff of other medical schools or educational institutions should not be

distributed or redistributed. When in doubt, students should seek guidance regarding appropriate

use of such materials.

6. Do not share confidential or proprietary information that may compromise Emory’s research

efforts, business practices or security.

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In addition to these general School of Medicine policies, Medical Imaging students are expected to adhere

to the following guidelines:

Medical Imaging students should apply professional practice and ethical standards equally to live

and online activities.

Medical Imaging students must refrain from posting images or information about clinical sites or

clinical staff.

Medical Imaging students must refrain from posting images or information about clinical

experiences/frustrations.

Medical Imaging students must never post information, including images that could potentially

identify a patient.

Medical Imaging students should avoid engaging with faculty, clinical staff or employees of any

clinical setting on their private social media accounts until they have graduated from the program

(i.e. “friending” on Facebook, “following” on Twitter, Snapchat, Instagram etc.)

Extreme caution is urged when mixing professional and personal on-line information and communication.

Medical Imaging students have chosen a profession which expects more of its members; an obligation to

behave professionally both online and off.

VIOLATION OF PROFESSIONAL SUITABLITY

An unsatisfactory suitability evaluation will result in a counseling session and written documentation of

events leading to the student’s unsatisfactory evaluation. A serious offense may result in suspension or

dismissal while less serious events may result in a warning, probation, and/or grade reduction.

The following scale has been developed by the Medical Imaging Program to inform the students of

violations of conduct standards and probationary practices.

Violation Incident Number Action Taken

1. Violation of Supervision 1 Written Reprimand

Requirements 2 Suspension **

3 Dismissal

2. Unprofessional Demeanor 1 Counseling

2 Written Reprimand/Probation

3 Suspension **

4 Dismissal

3. Falsification of Clinical Records 1 Written Reprimand/Probation

(Depending on Severity) 2 Probation/ Suspension**

3 Dismissal

4. Excessive Absences * 1 Counseling/Probation/Required make up

(> 24 hours/semester) 2 Suspension**/ Required make up

3 Dismissal

5. Unauthorized Absences * 1 Written Reprimand

(NCNS – No Call No Show) 2 Probation

3 Suspension**

4 Dismissal

6. Excessive Tardiness * >3/semester Counseling

>3/semester 2x’s Probation

>3/semester 3x’s Suspension**

>3/semester 4x’s Dismissal

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7. Dress Code Violation * 1 Warning

2 Counseling

3 Reprimand

4 Suspension**

5 Dismissal

8. Hygiene Violation 1 Counseling

2 Reprimand

3 Suspension**

4 Dismissal

9 Cell Phone/Electronic devices/ * 1 Written Reprimand ANDDress Code

violation

Texting/Social Media 2 Suspension** ANDDress Code violation

3 Dismissal

10. Honor Code Violations 1 Written Reprimand/Probation/Grade

penalties

2 Suspension**

3 Dismissal

11. Picture taking 1 Reprimand/Possible dismissal/Probation

2 Dismissal

12. PAC’s violation 1 Dismissal

Any serious violation of professional ethics may result in immediate dismissal.

* Realize also that some violations impact the work ethic grade as discussed in section VII. Dress code

violations are cumulative from semester to semester.

**Time missed due to suspensions must be made up over the semester breaks at the discretion of the

clinical coordinator. A second violation of the Cell Phone/Mobile device policy will result in one full

clinical day suspension. Any suspension will lead to an automatic one letter grade deduction in the

clinical course it occurs.

In addition to the previous scale, clinical site supervisors or instructors may send a student home from a

clinical site for violation of professional conduct. The following actions should result in an immediate

call from the site to the Clinical Coordinator or Program Director.

Patient safety issues

Insubordination

Altered Mental Status

Under the influence

The first offense for any of the above listed reasons:

Student will incur demerits for missed time. The number of demerits earned may affect the

clinical grade.

Clinical Coordinator will place the student at an alternate site.

o It may not be possible to send the student to a similar type of clinical site.

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Second or subsequent offenses for any of the above listed reasons:

Alternate clinical site will not be provided.

Student will miss the remainder of the clinical rotation during which the incident occurred.

Grade penalties will apply.

Clinical sites may refuse to allow a student to attend clinical at their site if they have violated conduct

standards. If this happens it may not be possible for a student to complete the required competencies to

graduate.

ACADEMIC STANDING AND ACADEMIC DISMISSAL

Students earning a grade of “D” in a clinical course will be required to retake the course in which the “D”

was earned. Achievement of a grade of “C” will be required when the course is repeated; however, the

initial grade of “D” will remain on the student’s official transcript. Repeating a course means the student

will have to interrupt the program of full-time study and graduation will be delayed for one year. During

the intervening year, individualized plans of study will be developed jointly by the student and the

Program Director.

Achievement of two or more grades of “D” in medical imaging courses will automatically result in

exclusion from the program.

Achievement of one grade of “F” or “IF” in any medical imaging course will automatically result in

exclusion from the program.

Students experiencing clinical or personal difficulty may withdraw from a course. Withdrawals will only

be granted prior to mid-term and a grade of W (withdrawal without penalty) or WF (withdrawal failing)

will be assigned as appropriate. Withdrawing from a course means the student will have to interrupt the

program of full-time study and graduation will be delayed for one year. During the intervening year,

individualized plans of study will be developed jointly by the student and the Program Director.

GRADE POINT AVERAGE REQUIREMENT

A 2.0 average must be maintained in each semester to remain in good academic standing and to continue

in the program without interruption of full-time status.

A cumulative GPA of at least 2.0 (didactic and clinical) is required for graduation.

CLINICAL PROBATION

Students may be placed on clinical probation for violation of policies, misconduct, absenteeism, or

tardiness. Specific requirements for continuation will be looked at on an individual basis and included on

the probation form.

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)

All students will be required to attend HIPAA privacy training before beginning their clinical education.

Students will also be required to satisfactorily complete the University HIPAA competency check by the

deadline date. Students will be required to sign confidentiality agreements and are subject to all rules,

regulations and laws regarding patient privacy.

Our Compliance Pledge

As a member of the Emory Healthcare team, we each pledge to:

Follow all laws, regulations and EMORY HEALTHCARE policies. The laws, regulations and

ethical principles that govern health care are complicated.

27

Ask questions if the rules are unclear. If the rules are unclear, ask your supervisor, other

management or call the office of compliance programs at 404-778-2757. Keep asking until you

get a satisfactory answer.

Act when you think something is not right. When you think something is not right, discuss the

issue with your supervisor. If you are not comfortable doing that, or you are not satisfied with the

response, go to higher management in your area. If you still are not comfortable, call the office of

compliance programs at 404-778-2757 or the EMORY HEALTHCARE Trust Line at 1-888-550-

8850.

Report potential violations. Follow this same line of communication when you know a law,

regulation, health care policy or rule has been broken or if you are asked to break one of them. It

is EMORY HEALTHCARE's policy that no employee is punished for raising an issue or

reporting a concern in good faith. Your adherence to the EMORY HEALTHCARE compliance

program will be considered in your performance evaluation.

Be a part of the solution if a problem is found. When a problem is identified, EMORY

HEALTHCARE needs you to help solve the problem. Immediate and long-term correction is

critical to making sure a problem is not repeated.

Engage in ethical conduct and expect ethical conduct from others. Participate only in those

activities of which you are sure you and EMORY HEALTHCARE can be proud.

The following guidelines will help you do the right thing:

If you know or think something is wrong, don't do it, even if someone is pressuring you.

If you are concerned about something you are doing or are worried that it might be

discovered, stop get advice, report the concern and redirect your actions so that you know you

are doing the right thing.

Students may not look up any patient images unless they are involved in direct patient care

or they have received permission from a course instructor for an assignment.

Students may not look up their own or any friend or family members images.

SECTION IV: OBJECTIVES

During clinical rotations students are expected to achieve a variety of objectives. This section explains

general and attitudinal objectives that relate to all clinical rotations and explains specific objectives for the

different areas of the clinical rotations. Students will also find specific objectives for each clinical course

in the clinical syllabus. Objectives for specialty areas, such as pediatrics, geriatrics, CT, MRI,

Interventional, Women’s Health, and elective rotations, will be supplied to the student during the

semester in which the rotation occurs. Prior to all clinical rotations students should review all objectives

relevant to the area.

GENERAL

The clinical courses and laboratory experiences are designed to familiarize you with the many aspects of

Medical Imaging. Specifically, we desire that students:

1. Acquire expertise and proficiency in a wide variety of diagnostic radiographic procedures by applying

classroom theory to the actual practice of technical skills on specified levels of competency.

2. Develop and practice professional work habits and appropriate interpersonal relationships with

patients and other members of the health care team.

3. Acquire a broad knowledge of anatomy and physiology.

4. Learn the principles and proper operation of many types of x-ray equipment and accessories.

5. Learn to properly evaluate the requisition, identify the patient, and demonstrate proper patient care in

28

preparing the patient for his the exam.

6. Follow proper procedures to maintain the room in a clean, tidy and well-supplied manner.

7. Learn the correct method of radiologic positioning.

8. Learn safety in the use of machine-made radiation.

9. Learn nursing procedures and sterile techniques pertinent to radiology.

10. Acquire a basic background in computer operations, office procedures and department administration.

11. Participate in continuing education activities.

12. Become proficient in digital imaging techniques, including PACS.

13. Learn the appropriate response to emergencies by familiarizing themselves with emergency

techniques, the location of the crash carts, notification systems and phone numbers.

14. Practice universal precautions.

15. Evaluate images. .

16. Appreciate the role of the radiologist and physician extenders in medical imaging.

17. Provide proper clinical documentation for all work.

Example Script: Patient Involvement and Site Marking

Hello Mr. or Mrs. _______________ my name is____________.

o I am an Emory Student technologist and I will be performing your x-ray exam today.

(They have a right to refuse you, if so contact the technologist so they can take over the

exam.)

I will be performing an x-ray of/on _________________________ (indicate body part and side,

RT/LT/Both).

Ask “Can you tell me a little about your medical history and why you are here today?”

o Include this information in RADNET

o Radiologists like to get the patients history.

At start and completion of the exam, ask the patient if they have any questions or concerns.

Position the patient appropriately and while placing the marker say: “I am placing a (Rt or Lt)

marker near your (name the body part, e.g. foot) to indicate the correct side that I am x-raying.”

For each position and/or side use the same language as above.

When the x-rays have been completed, thank the patient by name for their cooperation.

Tell them what they may expect to happen next:

o You will make the images available by computer within a few minutes.

o The radiologist, orthopedist, ED physician (whichever is appropriate for the site you are

at) will interpret the exam.

o The results will be provided to you by your doctor.

Refer to the patient by name and include the family members as well.

Ask the patient if there is anything else that you can do for them today.

ATTITUDINAL These objectives reflect desired behavior patterns, attitudes, beliefs, values and tendencies to act in a

prescribed manner. They are relative to any and all assignments.

1. The student will conduct him/herself in a professional manner at all times.

2. The student will be properly groomed, adhering strictly to the dress code as outlined in the student

handbook.

29

3. The student will practice good communication skills in their interactions with patients and

department, clinical, and hospital personnel.

4. The student will act and respond to patients and staff in a responsible manner.

5. The students' attitude will be one of concern, cooperation and interest in their relationship with the

patient and the staff with which they are working.

6. The student will organize their work so that the exam is expedited efficiently, with maximum patient

care and minimum patient discomfort.

7. The student will be punctual and will notify the appropriate personnel when there is a possibility of

being late for clinic, as outlined under General Information Section.

8. It is very important in the field of radiology to be able to anticipate situations that may arise in the

department, and be able to cope in a professional and responsible manner.

9. The student will accept personal responsibility.

10. The student will follow the proper procedures to register a grievance. Problems in clinic will be

addressed to the clinical faculty. Problems related to the school will be submitted to the program

director. Remember that the faculty is always available and open to communication with the

students.

CHEST RADIOGRAPHY 1. Student will demonstrate accurate positioning skills and equipment manipulation for routine chest

radiographic studies.

2. Student will be able to describe fleshy and bony landmarks that aid in centering for a designated

structure.

3. Student will be able to name and locate thoracic structures.

4. Student will demonstrate the ability to select proper technique, IR, and SID for routine chest

radiographic studies.

5. Student will use the proper accessories and technique to demonstrate radiation protection to the

patient and himself.

6. Student will use proper image identification technique.

EMERGENCY ROOM

1. Student will learn to function in the atmosphere of the emergency department.

2. Student will demonstrate the ability to image critically ill patients using appropriate technical factors,

positioning skills, and equipment manipulation skills.

3. Student will function efficiently by imaging patients quickly and accurately.

4. Student will work as a team with the emergency room personnel.

5. Student will participate in emergency and patient care procedures under the direct supervision of

emergency department personnel.

FLUOROSCOPY ROTATION 1. Student will demonstrate knowledge of the appropriate contrast medium utilized for each

fluoroscopic study and its preparation.

2. Student will demonstrate the ability to assist the radiologist during the exam and in administering

contrast medium.

3. Student will assist the patient in moving during the exam as needed.

4. Student will demonstrate accurate positioning skills for fluoroscopic studies.

5. Student will be able to identify, locate and describe each organ of the gastrointestinal system.

6. Student will demonstrate the ability to manipulate the equipment and select proper technique for

fluoroscopic studies.

7. Student will demonstrate the ability to take proper patient histories for fluoroscopic studies.

8. Student will demonstrate knowledge of the proper sequencing for fluoroscopy.

30

9. Student will demonstrate the selection, preparation and use of accessory items (such as, grids, BE

bags, enema tips, etc.) when appropriate.

10. Student will tip patients for Barium enema exams in order to prove competency.


patient and to himself.

12. Student will demonstrate proper fluoroscopy technique for the terminal ileum, gallbladder, and

bladder.

13. Student will be able to use the fluoroscope and make exposures with the fluoroscope.

GENITOURINARY ROTATION 1. Student will demonstrate the ability to select the appropriate contrast medium and dosage for urinary

examinations.

2. Student will demonstrate proper sterile technique for drawing up and administration of contrast

medium and emergency drugs.

3. Student will demonstrate the ability to push contrast medium into the patient’s vessels under direct

supervision.

4. Student will be able to identify the location of the crash cart.

5. Student will demonstrate accurate positioning skills and equipment manipulation for exams of the

urinary tract.


structure.

7. Student will be able to identify and locate organs of the urinary system.

8. Student will demonstrate general knowledge on indications, contraindications and pathologic

conditions of the Urinary system.

9. Student will demonstrate the ability to select proper technique for urinary studies.

10. Student will demonstrate the selection and use of accessory items (such as, compression bands,

needle types, blood pressure cuffs, etc.) and will be able to monitor blood pressure, pulse and

respiration.




ORTHOPEDIC RADIOGRAPHY 1. Student will demonstrate accurate positioning skills and equipment manipulation for routine and non-

routine orthopedic radiographic studies.

2. Student will demonstrate accurate patient care, positioning skills and equipment manipulation for

trauma radiographic procedures.

3. Student will be able to identify and locate the bones of the appendicular and axial skeleton.


structure.

5. Student will demonstrate proper selection and use of accessory items (such as, grids, image receptors,

positioning devices, cones, etc.) when appropriate.

6. Student will demonstrate the ability to select proper technique for orthopedic radiographic studies.




PORTABLES 1. The student will demonstrate accurate positioning skills and equipment manipulation for a variety of

bedside exams.

2. Student will demonstrate the ability to select the proper techniques for various bedside exams.

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3. The student will follow department procedures in processing the clerical work associated with

bedside exams.

4. The student will be responsible and sensitive to the nursing personnel on the various units (i.e., CCU,

ICU).



6. Student will never hold patients or image receptors during exposure.


8. The student will always have a registered technologist in the adjacent area when performing portable

exams under indirect supervision following competency.

SURGERY 1. Student will follow the operating room (O.R.) requirements for dress and equipment maintenance,

and will properly demonstrate surgical asepsis technique.

2. Student will demonstrate positioning skills and equipment manipulation for:

Chest and Abdomen Procedures

Hip Pinnings

Retrograde pyelograms

Upper and Lower Extremity Procedures

C-Arm Procedures

Spine Procedures

Other Orthopedic Procedures

Etc.

3. Student will demonstrate the ability to select proper techniques for the above procedures.



5. Student will use the proper image identification technique.

6. Student will identify anatomical structures.

7. Student will employ proper imaging techniques.

8. Student will follow directions from the surgeon and technologist.

9. The student will always have a registered technologist available for immediate assistance in the

adjacent surgery area when performing C-arm exams under indirect supervision following

competency.

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SECTION V: CLINICAL EDUCATION MASTER PLAN

Students will rotate through all clinical sites and gain experience in the following areas:

Abdomen/GI/Fluoroscopy

Chest and Thorax

Computed Tomography (CT)

Digital Imaging

Elective Rotations*

Emergency Room

Geriatric Radiography

Interventional Radiography (IR)

Magnetic Resonance Imaging (MRI)

Mobile Radiography/Portables

Orthopedics

Pediatric Radiography

Surgery/OR

TOTAL GENERAL CLINICAL HOURS: Approximately 1684 hours

Students will also rotate through areas of their chosen field of expertise

CT – Computed Tomography

IR – Interventional Radiology

MRI – Magnetic Resonance Imaging

Women’s Health

Mammography

Bone Density

Radiology Education

Healthcare management

TOTAL MINOR TRACK PRACTICUM CLINICAL HOURS:

Approximately 544 hours CT, MRI, IR and Women’s Health

Education and Healthcare Management hours are variable

The student will be assigned to a clinical site or several clinical sites for a period of time each

semester. The student will receive a specific rotation schedule each semester with specific dates.

Students may not rotate through the exact clinical sites or for the exact amount of time as other

students; however, all students will rotate through areas where they will receive comparable clinical

experiences.

The final two semesters will be used to finish final competency exams. The student will be assigned

to areas based on their competency needs. In certain instances, students that finish their

competencies early and are deemed competent and proficient in basic exams by the faculty, may

work with the Clinical Coordinator to add elective rotations.

In certain semesters, students will be given the opportunity to gain exposure to different modalities

by selecting elective rotations. *Elective rotations include but are not limited to:

Bone Density

Cardiovascular

Computed Tomography

Interventional Radiography

Magnetic Resonance Imaging

Mammography

Nuclear Medicine

PET

PET CT

Radiation Therapy

Ultrasound

Students cannot be guaranteed their choice of electives due to schedules and clinical site constraints, but

every effort will be made to ensure that student’s will be able to attend the clinical area of their choice.

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SECTION VI: STUDENT CLINICAL COMPETENCY EVALUATION

RATIONALE The main purpose of the clinical education course(s) in any Medical Imaging Program is to affect a

transfer of knowledge from theory to the actual acquisition of skills in clinical diagnostic radiography, up

to a level of job entry competency at the time of graduation.

This transfer is accomplished by a continuum of clinical assignments in all aspects of diagnostic

radiographic procedures, with their correlation as close as possible to classroom and laboratory

experiences.

In order to measure the student's ability to perform at satisfactory levels of competency, a method of

evaluation has been established by the American Society of Radiologic Technologists, and accepted by

the Joint Review Committee on Education in Radiologic Technology. It has been slightly revised to meet

the particular needs of this program. Its ultimate goal, however, does not differ from the philosophy of

the two agencies listed above. That is, to graduate competent radiographers who perform at levels

expected by prospective employers.

CLINICAL COURSES Beginning with the first semester, the first of eight clinical courses will be taught. Coupled with the first

clinical course are such didactic courses as Introduction to Medical Imaging, Patient Care, Radiographic

Procedures, and Anatomy and Physiology. During this term the student will engage in laboratory

sessions under the supervision of the faculty. The student will demonstrate in role playing activities the

ability to simulate correct methods of patient immobilization and transfer, body mechanics, oxygen

administration, simple radiographic exams, portable and c-arm equipment manipulation, etc. The faculty

will evaluate these activities. In the clinical setting the student will manipulate the equipment, assist the

patient, observe the technologist performing exams, and begin to understand and practice basic

radiographic procedures and digital imaging techniques. During the first clinical course the student will

be under the direct supervision of a technologist at all times.

The second clinical course is coupled with Patient Care, Anatomy and Physiology and Radiographic

Procedures. Students will again engage in laboratory sessions in Radiographic Procedures and will be

required to successfully simulate orthopedic radiographic positioning procedures. This will be done

under the supervision of the program faculty. In the clinical setting the student begins to prove

competency in basic radiographic procedures such as chest, portable chest, abdomen and orthopedics and

becomes more comfortable with digital imaging. The student will not be able to perform any

radiographic procedure independently in the clinical affiliate until competency has been achieved on the

procedure. In the meantime, the student will assist technologists in the performance of their duties. Once

competency has been achieved, indirect supervision on these exams is appropriate, though any repeated

image must be done under direct supervision. The technologist must be in the room with the student

during all repeats. At some clinical facilities direct supervision is required on all exams.

The majority of the time spent in the first and second clinical courses will consist of a transition from an

observation, or passive role, to an active participating role, assisting the R.T.(R) in radiographic

examinations. The student's rate of progress will depend on the ability to understand and perform the

various assigned tasks.

The third through eighth clinical courses are primarily concerned with the student gaining experience in

the various diagnostic procedures. During these courses, the student will gradually move into a

performance stage in which he or she will actually be performing most all basic radiographic procedures

under the indirect supervision of a registered radiologic technologist. R.T.(R) The student will also

become proficient in the use of digital imaging.

34

COMPETENCY EVALUATION

When the student has performed a procedure at an acceptable level of performance the required number

of times and have simulated on the procedure in the lab or clinical site and/or covered it in procedures

class, they may request a competency evaluation. During this evaluation the student will demonstrate

their skill and competency in that particular examination. If a student fails the competency evaluation,

continuation in the clinical participation stage for additional experience on that exam is required.

A total of thirty-four* competency exams on live subjects are required in Semesters II – VIII. Certain

competencies are mandatory. Additional final competency exams are performed in the last two semesters.

Exact requirements on the number of competencies required each semester are outlined in each clinical

course syllabus. Upon the successful completion {score of 80} of a regular competency evaluation, the

student will be allowed to perform that examination under indirect supervision. The student will continue

to perform these examinations after competency has been achieved.

The steps for performing competencies are

1. Student engages in theory and laboratory classes and begins clinical observation in the clinical

education courses.

2. Student assists the technologist in exams and gains knowledge.

3. The student successfully simulates the exam in the laboratory and in some cases in clinical. (i.e.

scoliosis).

4. Student performs and appropriately documents the required number of prerequisites under direct

supervision. Documentation includes date, identification number, exposure factors, and

technologist. Some exams require the patient’s age and/or history.

5. The student requests a Competency Evaluation under direct supervision by a designated

technologist prior to the start of the exam. Students are expected to perform the exam in

accordance with site protocols. Emory Healthcare P. CXR and MSK protocols are included for

reference. 6. The student will complete all aspects of the exam from start to finish including all applicable

computer work.

7. Students may not review notes once the competency has been announced. Sophomore and Junior

students may refer to their technique chart.

8. The student will document the date, identification number, and exposure factors. The required

data must be completed in its entirety that day.

9. The technologist will complete the evaluation form on e*Value. Upon completion, the form is

reviewed by the Clinical Coordinator and student. The Faculty reserves the right to negate any

competency. A score of at least 80 is considered successful; any unsatisfactory in a category

negates the competency. Students will review the evaluation once it is completed.

10. Once successfully completed, the student engages in performance of that exam under indirect

supervision, however, any repeated image must be done under direct supervision and be recorded

in e*Value. If the student is unsuccessful in completing the competency exam they gain

additional experience in the exam and then request to repeat the competency evaluation.

11. The student is evaluated on retaining competency in subsequent semesters through the

performance of interval checks and final competencies.

12. Final competency exams will be performed during the last two clinical courses. If a student fails

one or more of the requirements of the exam, they will return to that area of weakness to be re-

evaluated. A successful completion (score of 90) of the final competency evaluation completes

the requirements for clinical performance. Student passing of the Final Competency Evaluation

is an indication of job entry-level competency.

13. Once a student has completed all of their regular and final competency exams they may request to

change the remainder of their orthopedic and fluoroscopy rotations in the final semester to

electives of their choice. This will only occur if the chosen rotation area is acceptable to the

clinical affiliate, the rotation does not interfere with other students scheduled rotations, and the

faculty feels the student is adequately prepared for basic radiographic procedures.

35

COMPETENCY EXAMS AND PREREQUISITE NUMBERS *Subject to change based on ARRT clinical competency requirements

MANDATORY COMPETENCY EXAMS

After performing the specified number of prerequisite exams, students must prove competency on at least

29 of the 37 exams below. ALL students must complete those procedures italicized and bolded. The

projections or number of projections required for each competency/prerequisite exam are included.

*Subject to change based on ARRT clinical competency requirements Prerequisites

I. Thorax and Abdomen

A. Routine Chest (PA & Lateral) 10

B. Stretcher or Wheelchair Chest (AP) 2

Patient is imaged in the wheelchair or on the stretcher with the IR behind them.( See Appendix A, ) C. Abdomen – Supine (KUB) 5

D. Abdomen – Erect 3

E. Ribs (AP/PA and oblique) 3

II. Upper Extremities & Shoulder Girdle (Minimum two projections)

A. Finger or thumb 2

B. Hand 2

C. Wrist 2

D. Forearm 2

E. Elbow 2

F. Humerus 2

G. Shoulder 2

H. Clavicle 2

III. Lower Extremities & Pelvic Girdle (Minimum two projections except AP Pelvis, XTL hip)

A. Foot 3

B. Ankle 3

C. Lower leg (Tib/Fib) 3

D. Knee 3

E. Femur 3

F. Pelvis 3

G. Hip 3

H. XTL Hip 3

IV. Vertebral Column

A. Cervical Spine (Dept. protocol – minimum 4 views) 5

B. Thoracic Spine (AP & Lat) 2

C. Lumbar Spine (AP, Lat & Spot) 3

D. XTL Spine 2

V. Surgery & Portables

A. Portable abdomen 3

B. Portable chest – Adult 10

C. Portable orthopedics – (anything skeletal) 3

D. C-arm Procedure – With manipulation to more than 1 projection 3

E. Surgical C-arm Procedure – With manipulation around a sterile field 2

VI. Pediatrics

A. Chest, 6 years or younger 3

VII. Geriatric (Patient must be physically or cognitively impaired due to aging)

A. Routine Chest (PA & Lateral) 2

B. Upper Extremity (min. two projections) 2

C. Lower Extremity (min. two projections) 2

36

VIII. Trauma** (serious injury or shock to the body – pt. requires special handling e.g. positioning

modifications, CR modifications, immobilization and/or support devices etc.)

A. Trauma Upper Extremity (non shoulder) (Minimum two projections) 2

B. Trauma Shoulder (Y, Transthoracic or Axillary) 2

C. Trauma Lower Extremity (Minimum two projections) 2

** To be considered a trauma exam, imaging performed must be the initial imaging of the injury

and must require special handling of the patient as described above.

ELECTIVE COMPETENCY EXAMS

In addition to the mandatory competency exams, students must perform competency on a minimum of 10

of the 28 elective exams; 1 must be a Contrast Enema. Each requires two prerequisite exams unless

otherwise noted. (Projections based on department protocol unless otherwise specified) 1. Lat Decub CXR

2. Decub Abdomen

3. Sternum

4. Soft tissue neck

5. Scapula (AP/Lat)

6. AC joints

7. Toe

8. Patella

9. Calcaneus (Lat/Axial)

10. Skull

11. Paranasal Sinuses

12. Facial Bones

13. Orbits

14. Zygomatic Arch

15. Nasal Bones

16. Mandible (not panorex)

17. Sacrum/Coccyx

18. Scoliosis

19. SI joints

20. IVU

21. Contrast Enema – 1 prereq

22. UGI

23. Small Bowel Series (Must

include all KUB’s & spot TI

with marker)

24. Esophagram (Barium

Swallow)

25. Pediatric Upper Ext.

26. Pediatric Lower Ext.

27. Pediatric Abdomen

28. Portable Pediatric Exam

TECHNOLOGISTS WHO MAY PERFORM COMPETENCIES Faculty members, RT-BMsc Education students, and the following technologists may evaluate the

students on the above competency exams. (This list is subject to change, students will be provided with

updates.)

CHILDREN'S HEALTHCARE OF ATLANTA AT EGLESTON (CHOA): Angie Bagwell, Marlo Daley, Atif

Khan, Fu Tai Lu, Kelly Mostek, Angie Smith, Mary Street, Katie Williams

EMORY DUNWOODY: Eugene Kang, Jin Yoon

EMORY JOHNS CREEK HOSPITAL (EJCH): LaToya Gotel, John Stefanie, Christian Haney

EMORY ST. JOSEPHS HOSPITAL (ESJH): Kesha McCoy, Tiffany Roberts, Susan Taylor (OPIC)

EMORY UNIVERSITY ORTHOPAEDIC AND SPINE HOSPITAL (EUOSH): Jeanine Blotske, Vicki Knowles,

Robert Wells

EMORY UNIVERSITY HOSPITAL (EUH): Aurora Marinescu, John Mathew, Janiece Scott, Vicki White, Chelsea

Dunwoody

EMORY UNIVERSITY HOSPITAL TOWER (EUH TOWER): Leslie Sims

EMORY UNIVERSITY HOSPITAL – MIDTOWN (EUHM) & THE MEDICAL OFFICE TOWER (MOT):

Sabine Alexis, Radreckia Allen, Sonya Cromer, Michael Daise, , Dustin Harris, Bertu Kedir, Deon Moore, Michael

Panas, Christi Smith

EUOSH MEDICAL OFFICE BUILDING (MOB): Ahmed Fadl

THE EMORY CLINIC (TEC - WCI): Karimah Clark-Harris, Eric Edmondson, Jen McCorkle, Veena Rajeevan

THE SPORTS MEDICINE AND SPINE CENTER AT EXECUTIVE PARK (EP): Jason Smitherman, Nancy

Stauffer, Kristen Ferreira, Clarisa Tismanaru, Nichole Hamilton, Bonnie Jones, Tevin Cummings

Subject to change: Revised 8/18

37

CRITERIA FOR COMPETENCY EVALUATION

Criteria for Performance Evaluation:

A. Student will evaluate the requisition, complete the required paper/computer work and

1. Identify procedures to be performed.

2. Identify the patient's age and name.

3. Identify patient location and mode of transportation.

4. Acknowledge any pathological conditions.

5. Acquire appropriate clinical history.

B. Student will prepare the radiographic room and

1. Provide clean and orderly work area.

2. Verify that equipment is operational.

3. Obtain appropriate supplies for examination.

4. Have appropriate supplies and markers available.

C. Professionalism and proper patient care skills will be demonstrated by

1. Selecting the correct patient using two patient identifiers.

2. Introducing himself/herself to patient and briefly explaining the procedure.

3. Requesting last menstrual period (LMP) date of female patients between the ages of

12-60.

4. Transporting patient to appropriate imaging area.

5. Verifying if patient is properly prepared for the examination.

6. Identifying, when appropriate, that there are no contraindications for performing

procedure.

7. Providing safe storage for patient's belongings.

8. Providing appropriate assistance to the radiographic device based on patient's

condition.

9. Maintaining patient dignity and modesty through proper gowning and covering for

the patient.

10. Talking to the patient in a concerned, professional manner.

11. Applying universal precautions as established by the Centers for Disease Control.

12. Providing proper instructions for moving and breathing.

13. Checking patient's condition at regular intervals.

14. Providing for patient security if the patient is left alone in the radiographic room.

15. Wearing the proper attire and identification badge.

D. The student will demonstrate appropriate equipment operation by

1. Maneuvering the x-ray tube and bucky utilizing appropriate controls and locks.

2. Selecting the proper IR, IR holder, grid, etc.

3. Selecting the appropriate field size and collimating to the anatomy of interest.

4. Selecting appropriate SID.

5. Manipulating image receptor as appropriate for accurate imaging.

6. Measuring the patient.

7. Using immobilization devices as needed.

8. Referring to a technique chart.

9. Selecting exposure factors.

10. Using equipment so as not to exceed recommended safety guidelines.

E. The student will demonstrate positioning/centering skills by

1. Positioning the patient correctly.

2. Positioning the part correctly.

38

F. The student will demonstrate centering skills by

1. Aligning the center of part to be demonstrated to center of the Image receptor.

2. Aligning the tube and image receptor.

3. Setting the correct tube angle.

G. The student will select exposure factors

1. Adequate to penetrate the part.

2. Adequate to provide the correct IR exposure/brightness.

3. To deliver the least amount of radiation possible to the patient.

4. That result in images with appropriate exposure indicators.

H. Evidence of Radiation Protection will be demonstrated by

1. Collimating to part. **NO electronic masking of anatomy post-exposure.

2. Using gonadal shields, if appropriate.

3. Demonstrating use of lead apron, blockers and gloves, if appropriate.

4. Selecting proper exposure factors.

5. Adjusting exposure factors for motion, pathology or patient size when appropriate.

6. Verifying that no repeats were performed. Any repeats negate the competency.

I. The student will solve problems

1. Using critical thinking skills.

2. By evaluating the patient condition.

3. Using clear thought processes.

J. The student will perform the projections

1. Required by the facility.

2. In a manner consistent with radiologic positioning manuals except in special

circumstances.

K. The student will perform the exam in a reasonable amount of time

1. Considering the students skill level.

2. Considering the patient condition and comfort.

L. The student will demonstrate appropriate imaging processing technique by

1. Preparing the detector for exposure.

2. Placing the IR in the image reader correctly.

3. Printing images from digital imaging systems when required.

4. Using digital radiography, teleradiology, PACS to transmit images to the correct

locations.

M. The student will demonstrate appropriate patient identification technique by

1. Selecting the correct patient from the worklist.

2. Using the correct identification with digital imaging.

N. The identification of the image is assessed by

1. The proper and correct display of their "R," "L," initialed markers. (non computer

generated) per Emory protocol where applicable.

2. The proper display of accessory markers visible, if required.

39

Criteria for Image Evaluation:

O. The student will identify if the appropriate structures are visible by

1. Verifying that the part is shown in proper perspective.

2. Verifying that adequate detail exists and motion is absent.

P. The student will demonstrate knowledge of anatomy by

1. Identifying anatomical structures on the image.

2. Identifying related anatomical structures.

Q. The student will evaluate positioning by

1. Comparing patient and part position to positioning criteria.

R. The student will evaluate proper alignment and centering by verifying that the

1. Image is centered.

2. Part is centered.

3. Tube is centered.

4. Patient is aligned correctly.

5. Correct central ray angulation was used.

S. The technical factors are assessed by

1. Evaluating contrast and brightness.

2. Evaluating the student’s ability to compensate for pathology.

3. Using the correct exposure factors to produce a diagnostic image.

4. Using the correct IR, grid, SID and OID.

5. Stating correct exposure indicator values and comparing their EI outcome to those

indicators.

T. The student will identify artifacts

1. By classification.

2. By type.

Faculty members will intermittently pull student images for review. Faculty members reserve the right

to disallow any competency exam based on failure of any of the above categories.

*MINIMUM PERTINENT ANATOMY

CHEST

PA/AP Projection Lateral Projection

1. Apices 10. Hilum 1. Heart

2. Bases 11. Mediastinum 2. Sternum

3. Costophrenic angles 12. Diaphragm 3. Diaphragm

4. Trachea 13. Air in stomach 4. Spine

5. Carina 14. Aortic knob 5. Costophrenic Angles

6. Bronchus 15. Scapula 6. Apices

7. Lung markings 16. SC joints

8. Number of lobes in each lung 17. Clavicle

9. Heart 18. No. of ribs visible

ABDOMEN – SUPINE, PRONE, ERECT, DECUB, PORTABLE

1. Diaphragm 7. Psoas muscles

2. Liver 8. Pelvis (iliac crest, symphysis pubis)

3. Ribs 9. Spine

4. Kidneys 10. Bladder

5. Spleen 11. Stomach

40

6. Small intestine 12. Large intestine

RIBS (& all chest anatomy)

1. Number of ribs visible

2. Anterior ribs

3. Posterior ribs

4. Axillary portion

5. Head of rib

6. Neck of rib

7. Body of rib

8. Costotransverse joint

9. Costovertebral joint

FOOT

1. Phalanges

2. Metatarsals

3. Tarsals

4. Navicular

5. Calcaneus

6. Talus

7. Cuboid

8. Cuneiforms

9. Sesamoids

10. Sinus tarsi

11. Interphalangeal joints

12. Metatarsophalangeal joints

13. Tarsometatarsal joints

ANKLE

1. Tibia

2. Fibula

3. Talus

4. Lateral malleolus

5. Medial malleolus

6. Mortise

7. Distal tibiofibular joint

8. Talofibular joint

9. Calcaneus

LOWER LEG (TIB/FIB)

1. Mortise

2. Talus

3. Talofibular joint

4. Distal tibiofibular joint

5. Lateral malleolus

6. Medial malleolus

7. Shaft of Tibia

8. Shaft of Fibula

9. Lateral condyle of tibia

10. Medial condyle of tibia

11. Intercondyloid eminence (tibial spine)

12. Tibial plateau

13. Tibial tuberosity

14. Head of fibula

15. Styloid process of fibula

16. Patella (apex, base)

KNEE

1. Femur

2. Tibia

3. Fibula


5. Lateral epicondyle of femur

6. Lateral condyle of femur

7. Medial epicondyle of femur

8. Medial condyle of femur

9. Intercondyloid fossa

10. Lateral condyle of tibia

11. Medial condyle of tibia

12. Intercondyloid eminence (tibial spine)

13. Tibial plateau

14. Head of fibula

15. Styloid process of fibula

16. Tibial tuberosity

FEMUR

1. Acetabulum

2. Head of femur

3. Neck of femur

4. Greater trochanter

5. Lesser trochanter

6. Shaft of femur

7. Intercondyloid fossa

8. Lateral epicondyle of femur

9. Lateral condyle of femur

10. Medial epicondyle of femur

11. Medial condyle of femur


41

PELVIS 1. Innominate bone 8. Obturator foramen

2. Ischium 9. Ala

3. Ilium 10. Ischial tuberosity

4. Pubis 11. Pubic symphysis

5. Crest 12. Acetabulum

6. ASIS 13. Head of femur

7. SI joints

HIP (AP HIP or PELVIS & Frog lateral)

1. Head of femur 9. Ala

2. Neck of femur 10. Ilium

3. Greater trochanter 11. Ishium

4. Lesser trochanter 12. Pubis

5. Crest 13. Obturator foramen

6. ASIS 14. Innominate bone

7. SI joints 15. Pubic symphysis

8. Acetabulum 16. Ischial tuberosity

TRAUMA HIP (includes AP and XTL)

1. Head of femur 9. Ala

2. Neck of femur 10. Ilium

3. Greater trochanter 11. Ischium

4. Lesser trochanter 12. Pubis

5. Crest 13. Obturator foramen

6. ASIS 14. Innominate bone

7. SI joints 15. Pubic symphysis

8. Acetabulum 16. Ischial tuberosity

FINGER OR THUMB

1. Phalanges 9. Sesamoids (if applicable)

2. Number of phalanges 10. Interphalangeal joint

3. Metacarpals 11. Proximal Interphalangeal joint

4. Number of metacarpals 12. Distal Interphalangeal joint

5. Proximal phalanx 13. Metacarpophalangeal joints

6. Middle phalanx 14. Metacarpals and phalanges are numbered in

7. Distal phalanx which direction?

8. Head of metacarpal

HAND

1. Phalanges 9. Distal phalanx

2. Number of phalanges 10. Head of metacarpal

3. Metacarpals 11. Sesamoids

4. Number of metacarpals 12. Interphalangeal joints

5. Carpals 13. Metacarpophalangeal joints

6. Number of carpals 14. Metacarpals and phalanges are numbered in

7. Proximal phalanx which direction?

8. Middle phalanx

42

WRIST

1. Carpals and number of

2. Scaphoid (navicular) 9. Hamate (unciform)

3. Lunate (semilunar) 10. Ulna

4. Triquetrum (cuneiform, triangular) 11. Radius

5. Pisiform 12. Styloid processes

6. Trapezium (greater multangular) 13. Base of metacarpals

7. Trapezoid (lesser multangular) 14. Distinguishing characteristic of the hamate is

8. Capitate (os magnum) what?

FOREARM

1. Radius 11. Wrist joint

2. Radial styloid 12. Elbow joint

3. Radial head 13. Coronoid process

4. Radial neck 14. Olecranon process

5. Radial tuberosity 15. Trochlear notch (semilunar notch)

6. Shaft of radius 16. Humerus

7. Ulna 17. Trochlea

8. Shaft of ulna 18. Capitulum

9. Ulnar styloid 19. Medial epicondyle

10. Head of ulna 20. Lateral epicondyle

ELBOW

1. Radius

2. Radial head

3. Radial neck

4. Radial tuberosity

5. Shaft of radius

6. Ulna

7. Shaft of ulna

8. Elbow joint

9. Coronoid process

10. Olecranon process

11. Trochlear notch (semilunar notch)

12. Humerus

13. Trochlea

14. Capitulum

15. Medial epicondyle

16. Lateral epicondyle

HUMERUS

1. Glenoid fossa

2. Head of humerus

3. Anatomical neck

4. Greater tubercle

5. Lesser tubercle

6. Surgical neck

7. Shaft of humerus

8. Trochlea

9. Capitulum

10. Medial epicondyle

11. Lateral epicondyle

SHOULDER/CLAVICLE

1. Humerus 7. Scapula

2. Head of humerus 8. Glenoid fossa

3. Anatomical neck 9. Acromion process

4. Greater tubercle 10. Coracoid process

5. Lesser tubercle 11. Acromioclavicular joint

6. Surgical neck 12. Clavicle

TRAUMA UPPER EXTREMITY – NON SHOULDER

As previously described

43

TRAUMA SHOULDER (Y, TRANSTHORACIC or AXILLARY) 1. Humerus 7. Scapula

2. Head of humerus 8. Glenoid fossa

3. Anatomical neck 9. Acromion process

4. Greater tubercle 10. Coracoid process

5. Lesser tubercle 11. Acromioclavicular joint

6. Surgical neck 12. Clavicle

CERVICAL SPINE (Competency must include a minimum of 4 projections)

1. Number of cervical vertebra 9. Atlas - lateral masses

2. Body 10. Axis - dens, body, articular processes

3. Transverse processes 11. Zygapophyseal Joints

4. Laminae 12. Inferior/Superior Articular Processes

5. Pedicles 13. Intervertebral foramina

6. Spinous Processes 14. Ribs

7. Vertebral Prominens 15. Occipital bone

8. Intervertebral disc space 16. Occlusal surface

THORACIC SPINE (AP & Lateral)

1. Number of thoracic vertebrae 6. Spinous processes

2. Body of vertebrae 7. Intervertebral spaces

3. Ribs 8. Intervertebral disc

4. Transverse process 9. Intervertebral foramen

5. Laminae

LUMBAR SPINE (AP, Lat, & Lateral spot)

1. Body of vertebrae 8. Pedicle

2. Transverse process 9. Laminae

3. Sacrum and SI joints 10. Number of lumbar vertebra

4. Spinous processes 11. L-5

5. Zygoapophyseal joints 12. S-1

6. Intervertebral disc 13. Sacral promontory

7. Intervertebral foramen 14. Iliac crests

CONTRAST ENEMA

1. Cecum 7. Sigmoid

2. Ascending colon 8. Rectum

3. Hepatic flexure 9. Anus

4. Transverse colon 10. Appendix

5. Splenic flexure 11. Small bowel

6. Descending colon 12. Haustra

44

EMORY DIAGNOSTIC RADIOLOGY PROTOCOLS

General

1. Tight Collimation expected on all images

2. No unprocessed images

3. Appropriate Masking

4. Standard display positions

5. Right and Left Separate within studies

6. Remove clothing in field of view to remove artifacts

7. Mandatory Right and Left marking with personal markers (non electronic)

Portable Chest Exam Protocol 1. Patient as upright as possible

2. 72 inch distance if possible – indicate in notes what distance was used.

3. All portable chest exams should be sent to PACS with both the standard chest image and the

line-enhanced image.

a. If you are using the Carestream units you will automatically get both images.

b. If you are using the Fuji equipment you will have to send the normal chest x-ray and then

reprocess the image under the “Chest Portable PICC” processing selection and send that

image also.

MSK Procedure Protocols Rev. 3/15

Left and right extremities to be done separately. All long bone exams to include both joints

Upper Extremities:

Finger:

1. PA hand

2. Oblique of affected finger

3. Lateral of affected finger

Hand: Left and right to be done

separately except for arthritis studies,

“ball-catcher’s” oblique OK for arthritis

study

1. PA

2. Oblique

3. Fan lateral

Wrist:

1. PA

2. Oblique

3. Lateral

Forearm: 1. AP

2. Lateral

Elbow: 1. AP

2. Oblique - lateral rotation

3. Lateral

Humerus: 1. AP

2. Lateral

Shoulder:

1. AP internal rotation

2. AP external rotation

3. Axillary (alternate: scapular

“Y” if axillary not possible)

Clavicle: 1. AP

2. AP axial with 150 cephalic

angulation

Scapula:

1. AP

2. Lateral ( Y view )

AC Joints:

1. AP (standing with weights)

2. AP (standing without

weights)

45

Lower Extremities:

Toes: 1. AP foot

2. Oblique of affected toe

3. Lateral of affected toe

Foot:

1. AP

2. Oblique - internal rotation

3. Lateral

Ankle:

1. AP

2. Oblique ( mortise)

3. Lateral

Heel / calcaneus:

1. Axial

2. Lateral

Tibia / Fibula:

1. AP

2. Lateral

Knee: 1. AP

2. Oblique - internal rotation

3. Lateral

- 100 to 150 flexion

(4. Include sunrise if ordered)

Femur:

1. AP

2. Lateral

Pelvis and Hips

Pelvis:

1. AP

Hip:

1. AP Pelvis

2. Lateral / frog leg of affected

Hip

ED/Trauma Hip:

1. AP Hip (affected hip only)

2. Lateral Hip (Frog or Cross-

Table affected only)

Sacroiliac Joints:

1. AP

2. AP axial with 400 cephalic

angulation

Pelvis post-arthroplasty:

Include entire femoral stem

Spine

C-spine (standard order):

1. AP

2. Odontoid

3. Lateral (swimmers if

necessary)

4. Obliques - bilateral

(5. Flex & ext if ordered)

T-spine:

1. AP

2. Lateral

3. Swimmers

L-spine:

1. AP

2. Lateral

3. L5 – S1 spot

(4. Obliques – bilateral if

ordered)

Sacrum / Coccyx:

1. AP sacrum

2. AP coccyx

3. Lateral sacrum/coccyx

Scoliosis:

Per physician orders

46

Miscellaneous Exams

Bone age study:

1. PA left hand including wrist

Ribs:

1. PA Chest

2. PA upper ribs

3. AP lower ribs

4. Bilateral PA obliques

Arthritis Survey: Right and left extremities to

be done separately

1. AP, Lateral, and Oblique hands

2. AP, Lateral, and Oblique feet

3. AP axial Pelvis – Ferguson (150

cephalic angulation)

Bone Length Study / Scanagram

1. Patient supine on table

Metastatic Survey

(See Axial Skeletal Survey)

Axial Skeletal Survey with Long Bones:

1. Skull lateral (include C-spine)

2. PA upper ribs

3. AP lower ribs

4. Pelvis

5. Bilateral AP femur

6. Bilateral AP tibia / fibula

7. AP Humerus

8. AP forearm

9. Lateral L-spine

10. Lateral T-spine

11. Swimmers

48

SAMPLE COMPTENCY RECORD TABLE

50

SECTION VII: CLINICAL GRADING SYSTEM

Each semester the clinical grade is comprised of a work ethic grade and the satisfactory completion of

assignments. Each student begins each semester with a grade of A.

FIRST SEMESTER:

All clinical orientation sessions, tours, observations, and clinical wrap up are mandatory and must be

made up if students are absent. Failure to do so will result in a one letter grade deduction persession

missed and not made up. Absences are considered unexcused unless accompanied by appropriate

documentation and turned into the clinical coordinator upon returning to campus. Students must be

punctual to these sessions, failure to be on time will also affect the clinical grade.

Work Ethic and Attendance grading scale

o Perfect Attendance with 0 – 1 tardies = A

o Unexcused absences will result in a 1–letter grade deduction per occurrence.

Students that are more than 10 minutes late to any mandatory clinical orientation

session will be considered absent.

o Any clinical time or orientation class missed must be made up. Failure to do so will prevent

the student from registering for the next clinical course and failure of the current clinical

course.

o Tardies, Dress code violation*, No call late, failure to follow the schedule

0 – 1 = no penalty

2 – 3 = 1 letter grade deduction



Greater than 7 = F

* Dress code violations are cumulative from semester to semester.

o Leaving the clinical site without permission or No Call No Show

1 letter grade deduction

Assignment grading scale

o 88 or better = No letter grade deduction

o 78 – 87 = 1 letter grade deduction

o 73 – 77 = Two letter grade deduction

o < 73 = Three letter grade deduction

Grade Examples:

Scenario 1

Student attended all Mandatory orientation sessions

Student attended all clinical observations

Student was tardy once to an observation

Student made up the time missed from being tardy.

Student had an average grade of 91 on their clinical assignment.

Final Clinical Grade = A

Scenario 2



Student was tardy twice to an observation



Final Clinical Grade = B

Scenario 3


51


Student was tardy twice to an observation



Final Clinical Grade = C

SECOND THROUGH EIGHTH SEMESTERS:

If the student receives 4 or less demerits (5 in the eighth semester), informs the program and clinical site

of any absences, completes required competencies and interval checks, satisfactorily (>88) completes all

assignments for the semester, and maintains the programs professional and personal conduct standards,

the student will maintain an A.

Work Ethic Grade: The work ethic grade encompasses

Attendance

Dress code – Dress code violations are cumulative from semester to semester.

Tardiness

Missing no more than half of a rotation through an area.

Leaving the clinical site without permission

Proper notification of clinical absences or tardiness

A student will receive:

1/2 demerit for each dress code violation after one warning.

o Dress code violations are cumulative from semester to semester.

1/2 demerit for failing to call prior to the scheduled shift in the event of an absence or tardy

over 30 minutes. (No call late.) This is in addition to the demerit for being tardy.

1/2 demerit each for their second, third or fourth tardy (The first tardy each semester will be

exempt from the demerit schedule, however the time missed will be included in clinical

time missed.)One demerit for each tardy over four.

Students will be considered tardy any time they come in to clinical later than their normal

scheduled time unless they have informed both the site and faculty before 3p the previous

business day (M-F). All tardies are round up to the nearest ¼ hr. One demerit for leaving

the clinical site without permission. (LWP) Students must inform both the site clinical

instructor/supervisor AND the program.

One demerit for failing to call both the clinical site and the program office in the event of an

absence.

One demerit for each four hours of clinical time missed. This includes time missed due to

absences, tardiness, leaving without permission, dress code violations, and appointments

during clinical, etc. Time will be rounded up to the nearest four hours.

In addition to the grade penalties, students missing greater than 24 hours/semester will be

required to make up that time during the semester break provided they have passed the

clinical course. If the student fails to complete the make up time over the semester break,

their registration for clinical for the next semester will be cancelled and the student will

receive a grade of “F” in clinical. In the event this occurs in the last semester the student will

receive an “Incomplete” grade in clinical and will not graduate until the time is made up.

Incompletes must be removed from the student’s record within one year or they will convert

to an “F”.

Two demerits for missing more than half of a rotation.

A letter grade drop each time the student fails to inform either the clinical site or the program

office in the event of an absence. A no call no show demerit occurs when a student fails to

inform the clinical coordinator, clinical supervisor, or clinical instructor. The student must

inform the appropriate personnel in advance of the scheduled shift.

52

0 - 4 demerits results in no letter grade drop

4.5 - 6 demerits results in one-letter grade drop

6.5 - 8 demerits results in two-letter grade drop

8.5 - 10 demerits results in three-letter grade drop

>10 demerits results in failure of the clinical course

Demerits will not be given in the event of serious illness of the student or the death or serious illness of

immediate family members. Immediate family members include spouse/significant other, child, parent,

sibling or grandparent. Verification of death or illness will be required within one week upon return to

clinical. Time missed will be made up over the semester break, observed holiday and/or at the discretion

of the program faculty and clinical affiliate. Extraordinary circumstances will be considered on a case-by-

case basis. In the event the student does not wish to make up the clinical time missed, the absences will be

counted as a regular absence and the demerit schedule will apply.

Since every four hours of missed time equals 1 demerit, and students may earn up to 4 demerits without a

letter grade drop, approximately sixteen hours is built into each semester II – VII to account for illness or

emergencies (provided that the student did not earn additional demerits related to the actions listed above)

It is recommended the student refrain from missing clinical unless an emergency occurs or the student is

ill.

In the final semester students are allowed one additional demerit or an additional 4 hours of missed

clinical time in general clinical without a letter grade drop (provided that the student did not earn

additional demerits related to the actions listed above). The demerit schedule is

0 - 5 demerits results in no letter grade drop

5.5 - 7 demerits results in one-letter grade drop

7.5 - 9 demerits results in two-letter grade drop

9.5 - 11 demerits results in three-letter grade drop

>11 demerits results in failure of the clinical course

Professional suitability and conduct requirements will also impact the clinical grade as discussed in

previous sections.

Assignment Grade: Assignments include

Competencies - Regular & Final

Image Critique

Student Clinical Evaluations

Performance objective checklists

Interval checks

Cross Cultural

Workshops/Discussions

Written assignments

Clinical Organization

Quizzes

Continuing Education

Vital Signs

Other

Not all assignments will occur in every semester. They will be outlined in the clinical syllabus.

Regular Competencies:

Students must obtain at least an 80 on all regular competencies to pass the competency.

Any Unsatisfactory in any category negates the competency.

Failure to complete the required number of competencies in a semester as outlined on each clinical

syllabus will result in a letter grade reduction per competency short.

Students may request additional clinical time during the program’s final exam week or first

53

week of the semester break to complete required competencies without penalty one time during

the program. The student will be scheduled at the discretion of the program faculty and clinical

affiliate.

This will only be allowed one time during the program; after that the time is volunteer time and

any applicable assignments will be applied to the next semester.

Certain competencies are required and must be completed to graduate.

Final Competencies:

Students must obtain at least a 90 on all final competencies to pass the competency.

Failure to complete the required number of final competencies in a semester as outlined on each

clinical syllabus will result in a letter grade reduction per competency short.

All final competencies must be completed satisfactorily before the student will be allowed to

graduate.

Image Critiques:

Faculty members conduct image critiques. Students are asked various questions on certain exams. Image

critiques are based on the following scale:

An average of

88 or better = No letter grade drop

78 – 87 = One-letter grade drop

73 – 77 = Two-letter grade drop

<73 = Three-letter grade drop

(A student will maintain their current clinical grade unless they fall below an 88.)

Student Clinical Evaluations:

Technologists and faculty members complete student Clinical Evaluations. They are done to identify

student’s strengths and areas in need of improvement. They are based on the following scale:

An average of






Performance objectives, Written assignments, Cross-cultural Workshops, Interval checks, Clinical

Organization, Quizzes, Continuing Education, Vital Signs, etc. are assigned each semester. They are

averaged and based on the following scale:






CE requirements will be as follows: 200 total points available, Seminars = 100 points for 1 hour, Directed

Readings = 25 points each regardless of CE value indicated on source.

If all Interval checks are completed a score of 100 is averaged into the assignment grade. If the required

number of interval checks are not completed by the end of the clinical semester a percentage of

completed/required is averaged into the assignment grade.

54

Other

Occasionally other assignments may be deemed necessary. Students will be notified of them in advance.

Students will also be notified of the effect of these assignments if they differ from the current assignment

scale.

Grade Examples:

Scenario 1

Student missed 16 hours of clinical time = 4 demerits

Student was always on time to clinical.

Student completed all required Competencies

Student had an Evaluation Average of 93

Student had an Assignment Average of 90

Final Clinical Grade = A

Scenario 2

Student missed 16.5 hours of clinical time = 5 demerits

Student was tardy twice = ½ demerit


Student had an Evaluation Average of 93


Final Clinical Grade = B

Scenario 3

Student missed 8 hours of clinical time = 2 demerits

Student was tardy three = 1 demerit


Student had a image critique grade of 82 = 1 grade drop

Student had an Evaluation Average of 84 = 1 grade drop


Final Clinical Grade = C

55

SECTION VIII: PROTECTION POLICIES

ACCIDENTS All accidents that occur while on Clinical Assignment resulting in patient, hospital personnel, or personal

injury and/or damage to equipment must be reported immediately to the Clinical Supervisor and Program

Director. An accident (INCIDENT) report must be filed at the site if the incident so warrants.

Students should report to Student Health for minor injuries but should report to an Emergency Room if

the injury is serious. The student will be responsible for all fees. For after hours care, call Student Health

at 404-727-7551 and follow the instructions given.

1. For serious injuries call applicable emergency number or go straight to the emergency room.

2. For minor injuries call Student Health immediately 404-727-7551 and follow their instructions.

3. For exposure to infectious diseases follow the procedure outlined below.

4. Some sites may have the student seen by employee health.

5. Students will fill out an incident report/STARS report as instructed by supervisor. Students are

generally considered visitors, not employees.

6. All injuries, accidents, needle sticks etc., must be reported to the Program Director and Clinical

Coordinator as soon as possible.

INFECTION CONTROL POLICY

Students will not be permitted to participate in the care of any patient infected with Ebola or similar

diseases.

Any needle sticks, contact with blood/body fluids, exposure to TB or other infectious diseases must be

reported to the supervisor at the clinical site, the Program Director and Student Health (404-727-7551).

The following protocol applies:

Infection Control Protocols

Needle sticks and Other Blood/Body Fluid Exposures

1. Learn and always observe Standard Precautions (Universal Precautions).

2. If you have an exposure to blood or other body fluids (e.g., needle stick, cut), immediately clean

the wound with soap and water.

3. Exposed oral and nasal mucosa should be decontaminated by vigorously flushing with water.

Exposed eyes should be irrigated with clean water or sterile saline. Eyewash facilities can be

accessed quickly in the emergency department for each hospital.

4. Follow the protocol of the hospital in which the incident occurred to the fullest including all

follow-up (through the hospital’s Employee Health Service). It is especially important that you

report your exposure to the hospital’s Employee Health Service as soon as possible so that a

timely evaluation can be performed. Additionally, your exposure may guide future preventive

efforts (e.g., education, training, selection of devices). If prophylactic medications are indicated,

it is recommended they be initiated as soon as possible after the exposure, ideally within two

hours.

5. If you are uncertain of the procedures for reporting and obtaining care at the facility where your

exposure occurred, call the Woodruff Health Sciences (WHSC) Needle stick Hotline for

assistance at 404-727-4736.

56

6. Acute serology should be drawn to establish one’s baseline antibody titers to hepatitis B virus (if

you have not previously been determined to be HBsAb positive [immune to Hepatitis B]) and, if

indicated, to HIV and/or Hepatitis C Virus [HCV] (if the source patient is HIV-positive or HCV-

positive).

7. Depending on the results of one’s serology and the baseline serology of the patient (from which

the incident occurred), you may need follow-up serologies as per the hospital protocol where the

injury occurred.

8. If the source patient is HIV-infected, the administration of post-exposure prophylaxis (PEP or

“prophylactic” antiretroviral medications) to decrease the risk of patient-to-healthcare worker

transmission should be strongly considered. Medications may be initiated pending results of HIV

serology on the source patient. If used, these medications should be taken as soon as possible

after the needle stick injury. Each hospital has a protocol and will counsel you and give advice as

needed. PEP regimens are complicated; therefore, be sure that the individual who manages your

exposure consults with the Hospital Epidemiologist (see list below).

9. Again, call the WHSC Needle stick Hotline 404-727-4736 if you have any questions about

management of the needle stick or other occupational exposure.

10. The following list of specific areas and/or individuals should be contacted at the facility in which

the exposure occurs:

Contacts for Infection Control Protocol

Emory University Hospital - Midtown

Daytime hours, Monday thru Friday (7 am to 4 pm):

Employee Health Service 404-686-2352

After hours, and on weekends:

Healthcare worker calls Exposure Pager (PIC 11917) or calls the WHSC Needle stick Hotline

(404-727-4PEM).

If WHSC Needle stick Hotline called, the on-call OIM nurse practitioner will be paged (PIC

50464). The Occupational Injury Management (OIM) nurse practitioner will facilitate immediate

post-exposure care. Healthcare worker should go to OIM during the next business day to have

baseline labs drawn.

Other contacts at Midtown:

Jesse Jacob, MD – cell: 404-402-5110

If you are unable to reach any of the above individuals, call the WHSC Needle stick Hotline

404-727-4736.

Emory University Hospital

Daytime hours, Monday thru Friday (7 am to 4 pm)

Employee Health/Occupational Injury Management Office

1364 Clifton Road, Room D219

Occupational Injury Management (Worker's Compensation) 404-686-8587 Employee Health

Services 404-686-8589

After hours and on weekends: Healthcare worker calls Exposure Pager (PIC 13084) or calls the WHSC Needle stick Hotline (404-

727-4PEM). If WHSC Needle stick Hotline called, the on-call OIM nurse practitioner will be paged (PIC

50464). The OIM nurse practitioner will facilitate immediate post-exposure care. Healthcare worker

should go to OIM during the next business day to have baseline labs drawn.

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Other contacts at EUH:

Jay Varkey, MD – PICC 12084

If you are unable to reach any of the above individuals, call the WHSC Needle stick Hotline

404-727-4736.

Children's Healthcare of Atlanta (CHOA) (Egleston or Scottish Rite)

Any needle stick or bloodborne pathogen exposure is referred to the 24/7 hotline 404-785-7777.

This is staffed by an employee health nurse who will provide guidance to students.

Employee Health Digital Pager 1-800-682-4549 or Needle stick Hotline (ext. 4444 at Egleston

and ext. 824444 at Scottish Rite)

Other contacts at CHOA: (if students cannot reach employee health nurse via hotline or pager)

Andi Shane, MD – cell: 404-354-7692 or office 404-727-9880

Infectious Disease Service Team on Call – pager: 404-785-7778

If you are unable to contact any of the above individuals, call the WHSC Needle stick

Hotline 404-727-4736.

Financial considerations of accidental needlesticks

The cost of the follow-up and necessary medications may be borne by Emory University Affiliated

Hospitals or may need to be submitted through the student’s health insurance. Any uncovered costs will

be covered through the Office of Medical Education & Student Affairs if the procedures outlined above

are followed.

For medical students and students in the health professions, initial evaluation of the exposure should be as

explained above. Following this initial evaluation, all incidents and follow-up for exposures occurring at a

hospital should be reported by the student within 4 days to the Registrar, Ms. Mary Kaye Garcia 404-712-

9921.

Conversions

PPD tuberculin skin tests will be performed every year (at a minimum) or at the time of exposure for

medical students. Those with PPD conversions will be referred to an appropriate physician in the

University Health Services for follow-up. Expense of drugs, x-rays, and laboratory testing will be covered

as long as protocol is followed.

Students Infected with HIV, Hepatitis B, Hepatitis C

Emory University School of Medicine requires any student who is infected with Human Immune

Deficiency Virus (HIV), Hepatitis B virus “e” antigen positive, or Hepatitis C virus to notify the

Executive Associate Dean for Medical Education and Student Affairs of his/her positive status so that the

School may help to define any limitations necessary on clinical rotations and make such accommodations

as may be reasonable to permit the student’s continued matriculation.

The Executive Associate Dean for Medical Education and Student Affairs, or his/her designee, will make

recommendations for students continued education on a case-by-case basis, utilizing the best currently

available scientific knowledge and any established recommendations from the U.S. Centers for Disease

Control and Prevention and other applicable governmental guidelines regarding what, if any, limitations

need to be applied to clinical activity for persons with the given condition. In conducting this evaluation

and making such recommendations, the Executive Associate Dean will consult with the student, the

student’s personal physician, student affairs deans and others, including faculty of the School of

Medicine, as determined appropriate to assist in this individualized judgment. Within the parameters of

existing law, the student’s confidentiality will be maintained during this process.

mailto:[email protected]

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Reasonable efforts to assist the student in completing the requirements for an M.D. degree will be made

by the School of Medicine. In addition, the student will be offered counseling concerning the options for

the future selection of a career pathway in the profession of medicine.

More Specific Guidelines on Students Infected with Blood-Borne Pathogens

Students should be allowed to complete the M.D. degree if at all possible with an effort by all to maintain

confidentiality to the degree that it is possible.

In such instances, the clinical department chairs need not be notified of the name of an individual student

involved or the type of blood-borne pathogen involved. However, the Clerkship Director for the

Departments of Surgery, Obstetrics/Gynecology, Emergency Medicine and any other Clerkship Directors

(if indicated) will be informed of the name of the individual student so that any special assignments can

be made if indicated. If the student is Hepatitis B “e”-antigen positive, the Clerkship Director will be

given that data.

Students will be carefully counseled concerning their potential risk to patients and their risk to

themselves. They will be instructed to be punctilious in the use of universal precautions and up-to- date

hospital infection control techniques. They will be referred to appropriate physician caregivers for optimal

follow-up and therapy. The student will also be counseled carefully about future career plans based on

current medical and legal data.

Invasive procedures considered as potential risks for health care workers-to-patient transmission by the

Centers for Disease Control and Prevention will be strictly avoided by students who are Hepatitis B “e”-

antigen positive. Students with other known blood-borne pathogens will be advised on a case-by-case

basis. In general, because of their lack of experience, students with HIV or HCV infections will be

advised like HBV-infected students. Recommended practices include double gloving and not performing

any procedures that have been previously identified as associated with a risk of provider-to-patient HBV

transmission.

The student will be allowed to withdraw without penalty from any clinical setting that the student feels

might present a risk for infectivity.

HIV-positive students should undergo screening for Tuberculosis every six to twelve months and receive

pneumococcal vaccine, annual influenza vaccine, and other appropriate preventive immunizations.

The student’s condition will be re-evaluated at least annually by the Executive Associate Dean for

Medical Education and Student Affairs to determine if any additional limitations are indicated. The

student’s viral load, CD4 count and clinical status as well as the regimen of anti-retroviral therapy that is

being employed can be useful in assisting in any decision making by the medical school if the student will

allow the Executive Associate Dean to discuss the results with his/her healthcare provider.

Students who fail to show a response to Hepatitis B vaccination by serologic means will be counseled to

see a physician to determine their Hepatitis B antigen status and to see if they are Hepatitis B “e”-antigen

positive. If they are “e”-antigen positive, they will be encouraged to report this finding to the Office of the

Executive Associate Dean, Medical Education & Student Affairs and then to be followed as per protocol.

Last modified: 8/2/2017

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LABORATORY SAFETY POLICY Students will be required to participate in laboratory procedures throughout the course of study. To insure

the safety of all students, the following laboratory rules must be followed. Failure to comply may result

in disciplinary action.

1. Laboratory use is restricted to only those students enrolled in the Medical Imaging Program who

have completed a laboratory orientation session.

2. Laboratory use is restricted to educational assignments only.

3. The laboratory will be open during regular program business hours. Students can use the

laboratory only when a faculty member is present in the program office, lab or classroom.

4. Students will not allow non-medical imaging program individuals in the laboratory.

5. General safety rules (use of electrical equipment, hazardous materials precautions, etc.) must be

followed when utilizing the laboratory.

6. The door entering the laboratory must be closed during a radiographic exposure.

7. Warm-up procedures must be completed before any experiment or practice exposures are made.

8. All students must go into the control area during a radiographic exposure.

9. All students must wear radiation-monitoring devices during labs requiring a radiographic

exposure.

10. Only phantoms or non-living objects may be used as subjects when actually performing a

radiographic exposure . X-raying live subjects for laboratory experiments will result in

disciplinary action.

11. Care must be taken in the handling of all laboratory equipment and supplies, especially phantoms.

Phantoms are heavy and are very expensive. Students must report any damage to equipment or a

phantom during the performance of a laboratory experiment to the program faculty immediately.

Failure to do so may result in disciplinary action.

12. Phantoms or other laboratory equipment may only be used in the laboratory unless permission is

given by program faculty for use in other clinical areas. If permission is given to use items

outside the laboratory, students must check out the phantom/ equipment from the course

instructor and return the items at a prearranged date and time.

13. All items must be returned to their designated place in the laboratory after use.

14. The laboratory must be kept neat and clean. Students are responsible for maintaining the

laboratory when performing experiments or practicing procedures.

a. Trash shall be discarded in an appropriate trash container.

b. Lights shall be turned off or unplugged when leaving the lab.

c. After use, the table and upright bucky shall be cleaned with antiseptic solution.

15. Any non-functioning equipment must be reported to a faculty member as soon as possible.

*These rules apply to all radiographic rooms that are used for any lab assignments.

PREGNANCY POLICY

**Disclosure of pregnancy is voluntary. Students are not required to declare pregnancy.**

The National Council on Radiation Protection (NCRP) recommends a total dose equivalent limit

(excluding medical exposure) of 0.5 rem (5 mSv) for the embryo-fetus. Once a pregnancy becomes

known, exposure of the embryo-fetus shall be no greater than 0.05 rem (0.5 mSv) in any month

(excluding medical exposure).

For purposes of radiation protection, it is recommended by the National Council on Radiation Protection

(NCRP) that persons involved in the use of ionizing radiation notify program officials immediately if

pregnancy is suspected. It is possible to limit occupational exposure to less than 0.5 rem per entire

gestation period and prevent exceeding embryo-fetal dose equivalent limits through personnel monitoring,

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proper radiation safety instruction, and adherence to all radiation safety policies. In accordance with the

NRC recommendations, the Medical Imaging Program at Emory University requests any student who

suspects a pregnancy to notify the program faculty immediately.

As soon as a student confirms that she is pregnant, it is recommended that she notify the program

faculty. Should the student choose to declare her pregnancy, she must do so, in writing, to the

Environmental Health and Safety Office giving approximate date of conception. . The Radiation Safety

Officer will review the student's past exposure history, determine if radiation restrictions should be

applied and counsel the student. A copy of the document "Guide for Instruction Concerning Prenatal

Radiation Exposure" will be given to the individual as required by the State of Georgia, NRC, and OSHA.

The student will sign documentation that this information has been received.

Following a declaration of pregnancy and counseling by the Radiation Safety Officer, the student must

notify the program faculty, in writing, within ten working days of her decision on one of the following

options:

1. Termination of enrollment in the program.

2. Withdrawal from the program for a period of one year after completion of the current

semester with routine assignments in fluoroscopy, portables, surgery, and special

procedures. The Radiation Safety Officer will issue a monthly fetal monitor for the

individual to wear in addition to her regular dosimeters.*

3. Withdrawal from the program for a period of one year after completion of the current

semester with limited assignments in fluoroscopy, portables, surgery, and special

procedures. The Radiation Safety Officer will issue a monthly fetal monitor for the

individual to wear in addition to her regular dosimeters.*

4. Withdrawal from the program for a period of one year without completion of the current

semester.*

5. Deceleration to part-time status with withdrawal from clinical course work.*

6. Continuation of full-time status with reassignment of rotations** (as requested by the student)

coordinated with the clinical coordinator. The Radiation Safety Officer will issue a monthly fetal

monitor for the individual to wear in addition to her regular dosimeters.***

7. Continuation of full-time status without reassignment of rotations. All clinical and didactic duties

and assignments must be performed as usual. The Radiation Safety Officer will issue a monthly

fetal monitor for the individual to wear in addition to her regular dosimeters.

If a student chooses to withdraw from the program for one year, she must notify the program director of

her intention to return to the program. Readmission will be based on space availability and the student's

previous academic standing. It is understood that, upon her return, all clinical competencies and clinical

rotations missed must be completed.

Withdrawal from the program for greater than one year will require the student to reapply in accordance

with standard admissions procedures.

The student may revoke the Declaration of Pregnancy at any time if she believes that it is in her best

interest to do so, and the lower dose limit for the embryo/fetus would no longer apply.

This policy is printed in the Clinical Handbook, discussed with all applicants prior to acceptance into the

program, and reviewed with the entire class upon enrollment in the program. All prospective students are

required to sign a form indicating their knowledge and understanding of this policy. This form is kept on

file with the students' applications.

* Options 2-5 automatically extend the program of study by one full year.

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** The program will make every effort to reassign the student as requested; however, the student

must realize that reassignment may not be possible.

*** Option 6 may extend the program of study.

RADIATION MONITORING In order to insure proper precautions against radiation accidents, all staff members and students are

provided with dosimeters for radiation monitoring. It is recommended that the body badge be worn at the

waist level along the midline of the body. The collar badge should be worn near the neck and outside of

the fluoroscopy apron during fluoroscopy procedures.

Students must always wear dosimeters while on clinical assignment and when making an exposure in the

lab. Dosimeters should be changed by the 8th day of each month and should be brought to the program

office for exchange.

RADIATION PROTECTION POLICY

The goal of radiation protection is to limit the probability of radiation induced diseases in persons

exposed to radiation and in their descendants to a degree that is acceptable in relation to the benefits from

the activities that involve such exposure. Each student is required to exercise sound radiation practices at

all times to insure safe working conditions for physicians, staff, faculty, other students and patients.

Failure to comply with the Radiation Safety Standards may be grounds for disciplinary action or dismissal

from the Program.

RADIATION SAFETY STANDARDS

1. Dosimetry

Students in the Medical Imaging Program shall be issued dosimetry in accordance with Emory’s

“Occupational Exposure and Personnel Monitoring Program.” (http://www.ehso.emory.edu/content-

guidelines/OccupationalExposure_PersonnelMonitoring.pdf) Accordingly, students will be assigned

collar and body dosimeters for administrative purposes, unless screening review shows an ALARA level

has been received. The body dosimeter shall be worn on the inside of the lead apron and the collar

dosimeter shall be worn on the outside of the lead apron near the head.

Dosimeters are obtained from the Program faculty at the beginning of each month. Dosimeters must be

returned to the Radiation Safety Officer by the tenth day of each month and it is the student's

responsibility to exchange the dosimeters in the Program office by the 8th day of the month. Failure to

turn in both dosimeters by the required date may result in disciplinary action and the assessment of a late

fee.

Dosimeters will be processed on a scheduled monthly basis. The handling and processing of dosimeters

is the responsibility of the Radiation Safety Officer. In the event that an overexposure is suspected, it is

the responsibility of the student to notify Program faculty and the Radiation Safety Officer.

Permanent records of dosimeter readings will be maintained by the Radiation Safety Officer. The

Program will keep exposure records for each student during their tenure in the program. All students will

be required to initial dosimeter reports on a monthly basis. Students may request access to their records at

any time. Should any student receive more than 50 millirem in any month, the student will be

immediately counseled by a Program faculty member regarding radiation protection practices. An annual

report of exposure will also be provided to each student by the Radiation Safety Officer.

In order to identify workers or students at most risk of exceeding radiation exposure limits, quarterly

investigational levels have been established. These levels are called “ALARA Levels”, named after the

http://www.ehso.emory.edu/content-guidelines/OccupationalExposure_PersonnelMonitoring.pdf

http://www.ehso.emory.edu/content-guidelines/OccupationalExposure_PersonnelMonitoring.pdf

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basic radiation safety principle to always keep your exposure as low as reasonably achievable. There are

two levels for each exposure limit; ALARA level 1 and ALARA level 2.

ALARA Investigational Levels

Quarterly ALARA Investigational Levels

Level 1 Level 2

Whole Body >125 millirems >375 millirems

Lens of Eye >375 millirems >1125 millirems

Skin/ Extremities >1250 millirems >3750 millirems

Fetal none >50 millirems/month

The Radiation Safety Officer will notify any worker who receives an exposure in excess of ALARA 1. If

the exposure exceeds ALARA 2, then the Radiation Safety Officer will investigate in order to determine

whether or not additional measures can or should be taken to reduce the exposure.

Lost or damaged dosimeters must be reported immediately to the Program faculty. A replacement

dosimeter will be obtained from the Radiation Safety Officer as soon as possible. Students who repeatedly

lose or damage their dosimeters will be assessed a fee for each dosimeter damaged or lost.

2. Use of Radiation-Producing Equipment

Students shall follow the guidance in the Emory Healthcare “Radiation Safety Policy for Use of X-rays,

Computed Radiography (CR), Digital Radiography (DR) and Fluoroscopy on Patients and Human

Subjects.” Accordingly, protective (lead) aprons shall be worn by students within the room during mobile

radiography, radiography, and fluoroscopic procedures, both within the laboratory and within the clinical

environment.

The operator must keep exposures as low as reasonably achievable and must use minimum exposure

factors necessary for the exam being performed. Fluoroscopic work shall be performed in the

minimum time possible using the lowest dose rate and the smallest aperture consistent with clinical

requirements.

The operator must never expose himself to the direct beam, and must not stand within one meter of

the tube or irradiation target while the unit is in operation unless adequately shielded. The operator

must make full use of protective barriers, lead aprons, gloves and lead glasses whenever practical.

The student must not hold image receptors during an exposure.

The student must not hold patients during an exposure.

The hand of the operator should never be placed in the useful beam unless the beam is attenuated by

the patient and a protective leaded glove is worn.

During the operation of mobile and dental units, the operator should stand as far as possible from the

tube and patient during exposure, and should wear a protective apron, or step behind an adequate

shield.

Rotation of operators or the use of portable shields is recommended for heavy workloads.

Shutter mechanisms and interlocking devices should not be tampered with and shall be inspected at

frequent intervals to insure proper operation.

The operator should insist that all nonessential personnel leave the exposure area before operating the

unit and that all essential personnel be adequately shielded.

The operator must observe any restrictions in the use of the x ray machine recommended by the

Radiation Safety staff.

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The operator must notify their supervisor and the Radiation Safety Officer immediately of any

accidental exposure to radiation to staff.

The useful x-ray beam shall be limited to what is necessary for the examination being performed and

shall in no instance exceed the dimensions of the image receptor. Evidence of proper collimation

and/or shielding should appear on all radiographs.

The cumulative radiation timer is to be reset at the beginning of each fluoroscopic procedure.

Thereafter, it will be reset only after it has completely run out of time and the audible signal has

sounded.

Students shall not take exposures on another student in the laboratory or clinical site.

Students must perform all procedures under direct supervision until competency has been achieved.

Students must perform all repeat images under the direct supervision of a registered radiographer.

A minimum of indirect supervision is required on all procedures for which the student has proven

competency.

3. Pregnancy

A. Patients: Emory Healthcare Imaging Services Policy: All females of child-bearing age will be

questioned regards pregnancy prior to appropriate radiologic exams or procedures. In Interventional

Radiology these data will be charted in the Plan of Care document. All other areas will document these

data in the RIS and / or the pregnancy questionnaire. Students will notify the supervising technologist and

physician of pertinent information and will follow the protocol of the clinical site in documenting the

information.

B. Students: Students will operate in accordance with the Medical Imaging Program Pregnancy

Policy.

REPEAT POLICY

Any repeated projection must be performed under the direct supervision of a registered technologist. To

minimize radiation exposure to the patient, the technologist must observe the student to insure that the

projection being repeated is performed correctly.

Students must document in e*Value under Case Log any projection that they are responsible for that

requires a repeat. The technologist must verify that they watched and assisted the student with the

repeated image. Repeat numbers will be checked periodically by the faculty.

Repeat documentation shall include the date, the patient’s identification number, the projection(s)

repeated, the reason for the repeat, and the technologist’s verification. It is expected that while learning

and gaining proficiency in performing general diagnostic exams, students will perform repeat images due

to errors in positioning, centering, exposure etc. In the event that the student logged zero repeat images

over the course of a clinical rotation at a site, the student will provide to the Clinical Coordinator an

attestation of such on the required form signed by their supervising technologist (s) at that site. Failure to

provide documentation regarding repeats will result in a 10 point deduction from the organization grade.

Failure to comply with the repeat policy is a violation of supervision requirements. The first offense will

result in a written reprimand; additional incidents will result in suspension and dismissal from the

program of study.

CLINICAL ORIENTATION

All students will orient themselves to the clinical setting on the first day of their clinical rotation.

Students will do this by completing the Clinical Orientation checklist. Students must familiarize

themselves with the clinical setting safety policies and procedures including the location of all safety

equipment, evacuation routes, and the emergency phone numbers. Failure to complete the Clinical

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Orientation Checklist on the first day of the clinical rotation will result in a reduction of the assignment

grade.

TRANSPORTATION POLICY

Transporting patients is an important task expected of all allied health professionals including

radiographers. It requires acquired knowledge and skills. Students may transport patients by all the

various means such as wheelchair and stretcher. However, patient transportation should not dominate

students’ daily clinical activities and should not cause students to miss the performance of radiographic

procedures. Students are expected to employ proper body mechanics and standard precautions. Students

must be familiar with the emergency procedures and phone numbers of the facility in the event an

emergency situation arises during transport.

Until a student demonstrates the proper techniques and skills required to safely transport patients by the

various modes of transportation (wheelchair, stretcher, etc.) and general knowledge of the facility, all

patient transportation shall be carried out under the direct supervision of qualified registered radiographer

(R.T.ARRT), registered nurse (RN), or other qualified healthcare professional. In addition, students

MUST be directly supervised and assisted in transporting all ICU patients and patients on a respirator.

Once a student has demonstrated the skills and knowledge necessary, they may transport patients without

direct supervision provided a technologist, nurse, or other qualified healthcare professional has reviewed

the patient’s status and mode of transportation with the student and determined such transport is within

the student’s abilities. Under no circumstances is a student to transport an ICU patient or an intubated

patient without supervision and assistance. Students may transport patients on oxygen and with infusion

pumps. However, should an infusion pump alarm during transport the student should be able to contact a

nurse or other responsible individual for immediate assistance.

SAFETY POLICIES – MISCELLANEOUS

Students are required to adhere to all safety policies of the clinical education settings and the program

facility. Adherence to safety policies includes avoiding the direct beam, therefore, students must

never hold patients nor the image receptor during an exposure. Safety training is discussed and

evaluated in didactic classes and during orientation.

In addition, students will be required to know emergency codes, phone numbers, crash cart locations, fire

extinguisher locations, fire alarm locations, and evacuation routes. Students will carry code cards on their

person in clinical at all times. These will be initially provided by the program. Students must be prepared

for emergencies.

Students will also hold current certification in BLS CPR for the duration of the program. Students must

provide a copy of their card before they will be allowed to begin clinical. All students will be responsible

for re-certifying before their expiration date. Students whose certification expires may not attend clinical.

Students will be evaluated on safety policies throughout the program of study.

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Risk Reduction Tips:

Stay alert, trust your instincts, and be aware of your surroundings.

If something or someone makes you uneasy, move toward a place where there are other people.

Walk in a group, or at least with one other person, whenever possible.

Use well-lit and well-traveled areas.

Use the safety escort services.

Do not leave valuables (cell phones, laptops, etc.) unattended or exposed to public view.

Program emergency numbers in your cell phone.

Report suspicious behavior to the police immediately.

Call the appropriate number below if you ever feel that your safety or that of others is compromised, to report information about a

crime under investigation, or to access resources available for survivors of sexual assault.

Emergency and Safety Escort Telephone Numbers

Safety Escort Services

Emory University SafeRide Program 404-727-7555

Oxford College of Emory University 770-784-8377

Emory University Hospital Midtown 404-686-2597

Emory University Orthopedics and Spine Hospital 404-831-4207

Emory John’s Creek Hospital 678-474-8132

Emory St. Joseph’s Hospital 678-843-7568

Emory Grady Area Campus 404-557-8106

The Carter Center 404-420-5106

Emergency Contacts

Emory Police Department 404-727-6111

Emory Police Department at Midtown 404-686-4357

Emory Police Department at Oxford 770-784-8377

All Other Police Agencies 9-1-1

To Report Information Related to a Crime Under Investigation

Emory Police Department All Locations 404-727-6111

Other Agencies

Atlanta Police Department 404-577-8477

DeKalb County Police Department 770-724-7850

Gwinnett County Police 770-513-5390

Johns Creek Police Department 678-474-1600

Newton County Sheriff’s Department 678-625-1400

Oxford (City) Police Department 770-788-1390

Sandy Springs Police Department 678-551-6900

Resources for Survivors of Sexual Assault

Emory

Counseling and Psychological Services (CAPS)–Atlanta Campus 404-727-7450

Title IX Coordinator for Students 404-727-7195

Respect Program, Office of Health Promotion 404-727-1514

Student Health Services – Atlanta Campus 404-727-7551

Oxford College Campus Life 770-784-8391

Student Health and Counseling Services-Oxford Campus 770-784-8394

Institutional Equity and Inclusion 404-727-2611

Faculty Staff Assistance Program 404-727-4328

Help Line (confidential, staffed by students) 404-727-HELP

http://sexualmisconductresources.emory.edu/

DeKalb County Day League (formerly DeKalb Rape Crisis Center) 404-377-1428

http://sexualmisconductresources.emory.edu/

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SECTION IX: E*VALUE

Students are required to keep track of most of their clinical records on e*Value. www.e-value.net

Records will be tracked via the web.

Time Tracking – Semesters I - VIII

Student Clinical Evaluations – Semesters II - VIII

Evaluations of the Clinical Sites– Semesters II - VIII

Checklists– Semesters I - VIII

Patient Prep – Semester I

Patient exams– Semesters I - VIII

Prerequisites– Semesters II - VIII

Competencies– Semesters II - VIII

Interval Checks– Semesters III – VI

Vital Signs – Semesters II – IV

Repeats – Semesters II – VIII

Others may be added

The faculty members will provide training prior to the first rotations but on the following pages are screen

shots and basic information about the site for Semester I documentation. Additional screen shots may be

added at a later date.


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TIME TRACKING (Clocking in/out) Go to www.e-value.net

Click on Time Tracking

Click on Clock In/out link

Select Proper Task, Course/Rotation

Select appropriate supervisor (Clinical instructor/Faculty) and site

Click Clock in

If there is no CI available at your site when you are ready to clock in you call the faculty member that is

assigned to your site and leave them a voicemail that you are clocking in. You must still clock in on

E*value after you leave the voicemail. Choose the faculty member as the supervisor on E*value.


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Click Clock out at the end of your clinical shift.

o If the CI you clocked in with in the morning is not available when you are clocking out find

another CI to clock out with (enter their name in the comment about the shift section).

o E*value will not let you change any information you selected once you clocked in.

o If no CI available to clock out with you call the faculty that is assigned to your site you to clock

out with and leave them a voicemail.

Must clock out on e*Value as well after you call the faculty.

The clinical instructor you clocked in with will verify your time. You should check weekly to make sure

your time got verified by supervisor. If the time tracking calendar has a red circle in the left hand corner

that means your time is still requiring approval. If it has a green check mark instead of the red circle that

means your time got approved by the supervisor.

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ORIENTATION CHECKLISTS & STUDENT EVALUATIONS OF CLINICAL

To Initiate Orientation Checklists/Student Evaluations of Clinical

Go to www.e-value.net

Click on Evaluations

Click on Initiate Ad hoc Evaluations

Select the proper evaluation type

The “Who would you like to evaluate?” section will be defaulted to your name so you don’t have to select

anything there.

Select course/rotation

Select Site

Select time frame

Clicking next will initiate the checklist/ evaluation type you selected for you to fill out.


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You may complete the form and submit at that time or save for later. You will find the pending evaluations

under Evaluations.

Click edit Evaluation to re-open it to complete evaluation and to submit it.

PATIENT PREP – CASE LOG

Patient Prep: Students must prepare patients for exams while in their last two weeks of fall I clinical. (five/site are

required)

1. Go to Case Logs – Log New Case (Exhibit A)

a. Fill in all areas with asterisks (if the clinical site/CI doesn’t show up, click on the funnel to the

right of the drop down box)

b. Hit Next

2. Select “Ungrouped Procedures” (Exhibit B)

a. Select Patient Preparation

b. Select Role – Performed

c. Hit Add Procedure

d. Save Record

3. Records logged incorrectly will not count.

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EXHIBIT A

EXHIBIT B

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APPENDIX A

Wheelchair/Stretcher Chest

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